Skip to main content
Full Color RGB 01
MAKE APPOINTMENT
background-2132910_1280-e1544599864781
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. 

Schedule Your Exam at One of Our 7 Convenient Locations!

Conroe
Woodlands
Spring-Louetta
Greenspoint
Grand Parkway
Southlake
Westchase
Kingwood

Call Us

Conroe 936-206-7366
Woodlands 281-528-4999
Louetta 832-678-8481
Greenspoint 281-677-3993
Kirkwood 832-532-8848
Southlake 817-835-9903
Grand Parkway 281-918-8894

maps

Conroe
Louetta

Greenpoint

kirkwood

Woodland

Dr. Inns is a 1982 graduate of the University of Houston College of Optometry. He holds a Bachelor of Science degree from Wilfred Laurier University, Canada. During his training at the University of Houston, he held positions in research and was a teaching assistant / laboratory instructor.

Postgraduate work includes therapeutic courses at Pennsylvania College of Optometry and the Optometric Glaucoma Specialist Course at the University of Texas Medical School. Dr. Inns has published in Optometry Today and Optometric Management. He also volunteers at the schools in his area.

Dr. Inns and his wife, Lynn, spend much of their spare time calling and visiting with their four boys.

  • 9:00 AM - 6:00 PM
  • 10:00 AM - 6:00 PM
  • 9:00 AM - 6:00 PM
  • 9:00 AM - 6:00 PM
  • 9:00 AM - 6:00 PM
  • 9:00 AM - 3:00 PM
  • Closed

Amber Draper, Manager

As the manager of The Woodlands office, Amber Draper leads the team with the focus on patient care and assisting with their ophthalmic needs. Having over 10 years experience, Amber can aid patients with the most appropriate lens technology to match their daily needs. Everyone needs at least one pair of sun wear, especially here in Texas.

Amber is a proud graduate of Sam Houston State University with a BA in History, and a minor in Spanish.

In her spare time, she is with family, friends, and enjoying some Houston Texans Football.

Dr. Toups is a 1984 graduate of the University of Houston College of Optometry. He has a Bachelor of Science degree in Pharmacy from Northeast Louisiana University.

Being a therapeutically licensed optometrist, Dr. Toups is trained to diagnose and treat ocular conditions. He specializes in contact lenses and he is current with all refractive surgery procedures.

Dr. Toups is married, has five children and has lived in the Houston area since 1980.