Version July 2025
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What is a black eye? —
This happens when something hits the eye, cheek, or nose and causes a bruise above or under the 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 in a person with lighter skin is often red in color at first, and then turns blue or purple. As it heals, it can turn green and yellow. In a person with darker skin, a black eye can be harder to see. It might appear a darker shade of brown or black as the bruise forms. 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? —
It doesn't need treatment, since 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 the injury. It might help to ice longer, even up to 2 days after the injury.
You can also take medicines such as acetaminophen (sample brand name: Tylenol) or ibuprofen (sample brand names: Advil, Motrin) to help with 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:
●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 your eye
●Nausea and vomiting
●Slow heart rate
●Trouble breathing through your nose
●Your nose looking crooked
Will I need tests? —
Maybe. Most people don't, 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. This will show if any of the bones around your eye are broken. It can also show if you have damage to the eyeball itself.
