10:35 07/05/2024 Patient education: Black eye (The Basics) - UpToDate

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Patient education: Black eye (The Basics)

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What is a black eye?

A black eye happens when something hits your eye, cheek, or nose and causes a bruise above
or under your eye. Bruises happen when blood vessels under the skin break, but the skin isn't
cut. When the blood vessels break, blood leaks into the tissues under the skin and makes the
skin change color.

A black eye starts off red in color, and then turns blue or purple. As it heals, a black eye can turn
green and yellow. Often, the swelling gets worse in the first day after the injury or when you
wake up the next morning. Most black eyes heal in 1 to 2 weeks, but some take longer.

How is a black eye treated?

A black eye doesn't need treatment. It will get better on its own. But you can "ice" your black eye
to make it feel better and help it heal. To do this, put a cold gel pack, bag of ice, or bag of frozen
vegetables on the injured area every 1 to 2 hours, for 15 minutes each time. Put a thin towel
between the ice (or other cold object) and your skin. Use the ice (or other cold object) for at
least 6 hours after your injury. Some people find it helpful to ice longer, even up to 2 days after
their injury.

You can also take medicines such as acetaminophen (sample brand name: Tylenol) or ibuprofen
(sample brand names: Advil, Motrin) to help with the pain and swelling. But people who have
certain conditions or take certain medicines should not take ibuprofen. If you aren't sure
whether you can take ibuprofen, ask your doctor or nurse.

Should I see a doctor or nurse?

See your doctor or nurse right away if you have any of these symptoms with your black eye:

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● Fever
● Any problems seeing, such as blurred vision or double vision
● Very bad pain in your eye, especially when trying to move it from side to side
● Bleeding from the eye
● Nausea and vomiting
● A slow heart rate
● Trouble breathing through your nose
● A nose that looks crooked

Will I need tests?

Maybe. Most people don't need tests for a black eye, but your doctor might want you to have an
eye exam. Plus, if you are having trouble seeing or moving your eye, your doctor might take a
special kind of X-ray called a CT scan. The CT scan will show if any of the bones around your eye
are broken. It can also show if you have damage to the eyeball itself.

More on this topic

Patient education: Taking care of bruises (The Basics)

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