The answer is D subconjunctival hemorrhage
Explanation- the patients eye isn’t completely red and he has no pain in it so it isn’t A or B. A corneal abrasion is just a scratch so redness isn’t normally splotch like. So that rules out the other options, plus a subconjunctival hemorrhage can be caused by a forceful cough or sneeze which the patient is experiencing.
What are the effects? you need to add more details, or add an attachment...