An eye contusion is a bruise around the eye, more commonly known as a black eye. It may result when a blow happens in or near the eye socket. If a bruise appears, it will usually do so within 24 hours of the injury.
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After being struck in the eye or nose, blood leaks into the area surrounding the eye.
Factors that may increase your risk of an eye contusion include:
A black and blue or purple mark will appear following the injury. There may also be redness, swelling, and tenderness or pain. After it begins to heal, the contusion may turn yellow.
Eye contusions are diagnosed visually. Healthcare providers assume that the eye has been struck in some way. Most people are able to self-diagnose a contusion, but a doctor may confirm the diagnosis.
It is important to apply first-aid treatment right away.
Many eye injuries are minor and will heal within 2 weeks with basic first aid. There is always the risk of more serious consequences, so you should consider seeing an eye doctor right away, even if you have no symptoms. This should be done urgently 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:
To help reduce your chance of an eye contusion:
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 right away. Do not feel alone or threatened. There is help available.
Eye Smart—American Academy of Opthalmology
National Domestic Violence Hotline
1-800-799-SAFE (7233) or 1-800-787-3224 (TTY)
Canadian Ophthalmological Society
Public Health Agency of Canada
Eye injuries. Kids Health—Nemours Foundation website. Available at http://kidshealth.org/parent/firstaid_safe/emergencies/eye_injury.html. Updated September 2014. Accessed May 6, 2016.
What is a black eye? Eye Smart—American Academy of Ophthalmology website. Available at: http://www.geteyesmart.org/eyesmart/diseases/black-eye.cfm. Updated March 1, 2015. Accessed May 6, 2016.
Last reviewed May 2018 by Michael Woods, MD Last Updated: 5/26/2015