A black eye refers to bruising around the eye caused by bleeding beneath the skin from injured blood vessels. In most cases, black eyes result from minor trauma and are not serious. However, a black eye can sometimes indicate a more severe issue, such as an internal eye injury or a fracture to the orbital bones.

In some situations, a black eye could suggest a possible skull fracture. This is more likely if you notice bruising around both eyes, blood coming from the nose, or symptoms like double vision.

Treatment

To manage a black eye at home, follow these steps:

  • Apply a cold compress as soon as possible after the injury. use gentle pressure to place a cold pack, a clean cloth filled with ice, or even a bag of frozen vegetables on the area surrounding the eye. do not press directly on the eye itself. cold therapy helps reduce swelling and should be repeated several times a day for the first couple of days.

  • After swelling has decreased, you can switch to warm or hot compresses. applying warmth several times a day for a day or two may help the body reabsorb the blood and speed up healing.

When To Call Your Doctor

You should seek medical attention right away if you:

  • Notice blood inside the white or colored part of the eye

  • Experience any changes in vision, such as double vision or blurry vision

  • Have significant pain, bleeding from the nose, or bruising around both eyes

These signs may indicate a more serious injury that requires professional evaluation and treatment.