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Got a Shiner!

What Exactly Is a Black Eye?

A black eye, also known as a periorbital hematoma, is usually not an injury of the actual eye (which is why it is called “periorbital”- around the eye). It typically occurs when there is an injury to the face or the eye socket which causes bleeding beneath the skin and bruising. The term, “black eye” comes from the dark coloring of the bruising that occurs underneath the skin around the eye.

When a blunt force hits the eye socket, this can cause capillaries in the area to burst, causing hemorrhaging, also known as a hematoma. This blood can accumulate in the eye socket and as it begins to be reabsorbed into the surrounding tissues, the colors of the bruising begin to change. That’s why you will often notice the coloring of the black eye to go from a dark purplish-red color to brownish and then yellow. 

Sometimes along with the external bruising, you might also notice a small amount of bleeding on the white surface of the eye, which is called a subconjunctival hemorrhage. This is when the tiny blood vessels on the white sclera are broken and leak blood. It’s generally harmless but sometimes looks scarier to the patient than the black eye does. This condition will also reabsorb on its own and is nothing to be concerned about. 

While most black eyes can look pretty serious due to the dramatic color, an uncomplicated black eye will typically heal within a week to ten days. If it doesn’t, there could be a more serious issue such as a bone fracture or an orbital blowout fracture.This could present with restricted eye movement, especially if looking up or down, and numbness of the cheek and/or upper lip on the same side as the black eye. The eye may even appear sunken in. Further, if there is bleeding within the actual eye (called a hyphema) or floaters or flashes in the vision, then it is definitely advisable to see your eye doctor as soon as possible. These could be signs of more serious damage such a corneal or retinal damage and can lead to vision loss. 

Treatment for a Black Eye

Usually, the best treatment for a black eye is to apply a cold compress (or even better, a bag of frozen vegetables, which is more flexible and can conform to the contours of the face) directly on the area. The cold will reduce swelling and constrict capillaries to reduce internal bleeding as well. Apply the cold for about 15-20 minutes every hour.  If there is pain, over the counter pain medications can help. 

If however, you experience any of the following symptoms, you should seek medical attention:

  • Blood on the surface of the eye or a visible incision on the eye
  • Vision changes such as double vision, blurred vision, loss of vision or the appearance of floaters
  • Loss of consciousness, dizziness or fainting
  • Loss of eye movement
  • Persistent headaches
  • Blood or fluids coming from the ears or nose
  • Vomiting
  • Signs of infection such as excessive swelling, pus, redness or a fever
  • Severe pain

In addition to blunt trauma, black eyes can be caused by sinus infections, nasal or eye surgery or other infections in the area such as the teeth infections or cellulitis (a serious infection that can occur around the eyes). A skull fracture can also cause both eyes to turn black, sometimes known as raccoon eyes. 

Unless you notice any severe symptoms you can rest assured that your black eye is a bruise just like anywhere else on the body and with a little care, rest and patience, it will clear up in no time. 

Dear Patients & Friends,

Per recommendations by the CDC and Governor Whitmer, we have closed the office for routine care for at least the next 2 weeks to help contain the spread of COVID-19. We are still here to support you with any eye emergencies or other vision related problems that can be handled while maintaining safe social distancing practices!

Please call us and leave a message if you have any questions or need assistance. I will review all messages and return your call within 24 hours. Things that we may still be able to assist with during this closure:

👓 Emergency visits (by appointment) for pain, infections, foreign bodies in the eye, double vision, loss of vision. PLEASE do not visit urgent care or the emergency room with these issues-they are already overwhelmed!

👓 We will ship directly to your home! For current patients, we may be able to extend expired contact lens prescriptions if needed. Please click to order directly.

👓 Eyeglasses/contact lens pick up: curbside pickup only by appointment. Porch delivery may also be an option if you are unable to leave your home.

👓 Eyeglass replacement or repair if no other vision correction options are available.

If you are able to, please consider supporting local small business, such as us, during this unprecedented time. My family has been enjoying take out dinners from our favorite local restaurants to help them weather this storm!

Most importantly, please be safe! Enjoy this unexpected time with your family. We care deeply for our patients and want to see you back for your eye care once this crisis is over!

Sincerely,

Dr. Luciana Dixon

x

Dear Patients & Friends,

Per recommendations by the CDC and Governor Whitmer, we have closed the office for routine care for at least the next 3 weeks to help contain the spread of COVID-19. We are still here to support you with any eye emergencies or other vision-related problems that can be handled while maintaining safe social distancing practices! Feel free to call us at 248-656-5055 or info@loptiqueoptometry.com, we will regularly be checking our messages.

Please call us and leave a message if you have any questions or need assistance. I will review all messages and return your call within 24 hours. Things that we may still be able to assist with during this closure:

👓 Emergency visits (by appointment) for pain, infections, foreign bodies in the eye, double vision, loss of vision. PLEASE do not visit urgent care or the emergency room with these issues-they are already overwhelmed!

👓 Ordering contact lenses: We will ship directly to your home! For current patients, we may be able to extend expired contact lens prescriptions if needed. Please click to order directly.

👓 Eyeglasses/contact lens pick up: curbside pickup only by appointment. Porch delivery may also be an option if you are unable to leave your home.

👓 Eyeglass replacement or repair if no other vision correction options are available.

If you are able to, please consider supporting local small business, such as us, during this unprecedented time. My family has been enjoying take out dinners from our favorite local restaurants to help them weather this storm!

Most importantly, please be safe! Enjoy this unexpected time with your family. We care deeply for our patients and want to see you back for your eye care once this crisis is over!

Sincerely,

Dr. Luciana Dixon