Black Eye

Black eye is a phrase used to describe bruising around the eye due to an injury to the face or the head. Blood and other fluids collect in the space around the eye, causing swelling and dark bruising in the tissue. When there is trauma or injury to the face, the skin around the eye — which is very loose — is one of the first places to swell as fluid builds up. Although the name "black eye" would indicate otherwise, the eye itself is usually not injured. Many black eyes heal on their own in a few days.

After an injury to the eye, it is important to distinguish between symptoms of black eye and those that might indicate a more serious head injury. Black eye symptoms may include:

  • Pain around the eye.
  • Swelling around the eye which can be mild at first, then increasing later. Swelling may make it difficult to open the eye
  • discoloration (like a bruise) around the eye. The skin around the eye may be red at first, then grows darker, progressing to purple, yellow, green or black

A typical black eye that does not involve more serious symptoms is generally treated with self-care at home. To reduce swelling and ease pain the first day, an ice pack can be applied to the eye for 15-20 minutes at a time, once every hour. If an ice pack is not available, a bag of frozen vegetables can be used, or ice cubes wrapped in cloth (to avoid freezing the skin). Despite what you see in movies or on television, you should never put a raw steak or other raw meat on a black eye. The bacteria on raw meat poses a high risk of infection, and this method of treating a black eye has no scientific basis.

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