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Home » What's New » Got a Shiner!

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. 

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To our valued patients,

At The Eye Doctors, Inc. the health and well-being of our patients is at the core of everything that we do. In light of the rapidly changing situation and the spread of COVID-19 we made the difficult decision to close the clinic on Tuesday, March 17 th.

At this time, the Wal-Mart Vision Center remains open limited hours for urgent glasses repairs, pick-ups of existing orders and new contact lens orders. The vision center is open every day from 10 AM to 2 PM and on Tuesdays from 6 AM to 2 PM, with the hour of 6 AM to 7 AM reserved for senior citizens.

If you are experiencing an eye emergency, please call 952-955-4427 to leave a message for one of the doctors. Messages will be checked Monday through Saturday from 9 AM to 5 PM.

We are monitoring the situation closely and will re-open when it is safe to do so. We look forward to seeing you when things improve and thank you for your continued support of our practice. Please continue to our website for further information.

Dr. Melissa Viker & Dr. Britt Gustafson

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The Eye Doctors, Inc. COVID-19 Information:

Our clinic closed on March 17th and will remain closed until it is safe to re-open.  Please watch our website and Facebook page for updates.

Urgent or Emergent Eye Concerns

If you have an eye emergency, we are here to help.  Please call 952-955-4427 and one of the doctors will return your call.  The messages are monitored Monday through Saturday between 9 AM and 5 PM.  Eye emergencies include (but are not limited to): eye pain, a recent onset of redness in one or both eyes, flashes of light or sudden onset of new floaters, double vision, and sudden change/worsening of vision in one or both eyes.

Glasses and Contact Lens Orders:

The Wal-Mart Vision Center is open daily at this time from 10 AM to 2 PM and 6 AM to 2 PM on Tuesdays for limited services. The hour of 6 AM to 7 AM on Tuesdays is reserved for senior citizens.  One optician is on duty to provide urgent glasses repairs and adjustments; at this time no new orders for glasses are being accepted. Existing orders of contact lenses and glasses may be picked up from the vision center.  New orders of contact lenses can be placed in store and will be shipped to your home if we do not have the lenses in stock. Additionally, you may order contact lenses at www.walmartcontacts.com

Contact Lens Safety

There is no evidence that contact lens wearers are at greater risk for a Corona Virus infection, per the American Optometric Association Cornea and Contact Lens Section.  Please follow the below tips:

  • Wash and dry your hands thoroughly before handling contact lenses
  • Avoid using contact lenses if you are ill with any cold or flu-like symptoms
  • Reduce your risk for infection by avoiding sleeping, napping, swimming or showering in contact lenses
  • Replace your contact lens case every 2 months
  • Use fresh contact lens solution each time you store your lenses
  • Do not reuse single-use/daily disposable lenses