An eye contusion is a bruise around the eye, commonly called a black eye. It may occur when a blow is sustained in or near the eye socket. If a bruise appears, it will usually do so within 24 hours of the injury.
Eye contusions are diagnosed visually. Healthcare providers assume that the eye has been struck in some way or another. Most people are able to self-diagnose a contusion, but a doctor may confirm the diagnosis.
It is important to apply first-aid treatment immediately upon receiving an eye injury.
While many eye injuries are fairly minor and will heal within two weeks with basic first-aid, there is always the risk of more serious consequences, so you should still see an eye doctor immediately, even if you have no symptoms. This is especially urgent if a blow to the eye causes blood to appear in your eye, loss or change in vision, double vision, inability to move the eye normally, or severe pain in your eyeball. Depending on the extent of your injury, your doctor may provide further medical treatment. For instance:
If you are diagnosed with an eye contusion, follow your doctor's instructions.
To help reduce your chance of an eye contusion, take the following steps:
Many cases of black eyes are the result of domestic violence. If you suffer from any form of domestic violence, verbal or physical, talk to your doctor or call a domestic violence hotline immediately (see Resources below). Do not feel alone or threatened. There is help available.
RESOURCES:
American Academy of Opthalmology
http://www.aao.org
Eye Safety for Emergency Response and Disaster Recovery
National Center for Occupational Safety and Health
Centers for Disease Control and Prevention
http://www.cdc.gov/niosh/eyesafe.html
National Domestic Violence Hotline
1-800-799-SAFE (7233) or 1-800-787-3224 (TTY)
http://www.ndvh.org
National Eye Institute
http://www.nei.nih.gov
CANADIAN RESOURCES:
Canadian Ophthalmological Society
http://www.eyesite.ca
Shelternet
http://www.shelternet.ca
Women's Services Directory
Ministry of Community Services, British Columbia
http://www.mcaws.gov.bc.ca
References:
American Academy of Opthalmology. Preventing Eye Injuries: A Closer Look [brochure]. 2004.
Beers MH, Berkow R, Burs M, eds. The Merck Manual of Diagnosis and Therapy . Whitehouse Station, NJ: Merck Research Laboratories; 1999.
Johns Hopkins University. The Johns Hopkins Family Health Book . New York: Harper Collins Publishing; 1999.
Nemours Foundation website. Available at http://kidshealth.org/parent/firstaid_safe/emergencies/eye_injury.html . Accessed September 25, 2005.
Last reviewed November 2008 by Rosalyn Carson-DeWitt, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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