Black Eye

A “black eye” is really a bruise around your eye. It usually results from an injury to your face or head rather than an injury to the eye itself. Pooled blood and fluids in the skin around the eye cause swelling and a black-and-blue color. A black eye should return to normal in a week or two.

When to Go to the Emergency Room (ER)

In many cases, a black eye is a minor injury and can be treated with cold packs and pain medication. But seek medical care right away if you have any of these symptoms:

• A change or loss of vision

• An eye that won't look in more than one direction

• Blood inside your eye, or bleeding from your nose or ears

• Fluid leaking from your eye

What to Expect in the ER

• Your injury will be inspected.

• Your vision, the way your eye moves, and the bones around your eye will be checked.

• You may have a fluorescein stain test. This uses dye and a special light to check for eye damage.

• An x-ray or other tests may be done.

• Depending on the results of your exam and tests, you may be referred to an eye specialist (ophthalmologist).

Follow-up

While your eye is healing, call your doctor if you notice any of these symptoms:

• Swelling that doesn't improve after a few days

• Increased or severe pain

• Changes in your vision

• Warmth, redness, or pus near the bruise