August 13, 2024

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…
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Opto-Mization Optometry & Vision Therapy

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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Opto-Mization Optometry & Vision Therapy
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Our Nanaimo Practice
Opto-Mization Optometry & Vision Therapy
205-1825 Bowen Rd
Nanaimo, BC V9S 1H1
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  • What is Neuro-Optometry?

    Neuro-Optometry focuses on the intricate connection between your visual system and the brain, extending beyond traditional eye care to assess functional vision. This branch of optometry examines how your eyes track, move, coordinate, and how your brain processes depth, motion, and balance. Disruptions in these functions can lead to a range of issues including headaches, migraines, dizziness, balance challenges, post-concussion symptoms, reading difficulties, and attention deficits (ADHD). By exploring these functional areas, we also identify opportunities to enhance performance in activities such as sports, reading speed, and cognitive processes.

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    At Opto-Mization, vision therapy is a specialized, personalized program aimed at improving visual skills and abilities. It goes beyond traditional vision therapy to help improve how the eyes and brain work together, addressing visual-motor and perceptual-cognitive challenges to enhance overall visual function. It’s more than just exercises; it’s a pathway to better vision and improved daily life.

  • Do you Provide Regular Eye Exams and General Optometric Services?

    Yes, alongside vision therapy and neuro-optometry, we offer comprehensive eye exams and general optometry services. Our experienced optometrists perform thorough eye exams to evaluate overall eye health, identify any eye conditions or diseases, and prescribe corrective lenses when beneficial.

  • Who is the Ideal Candidate for Vision Therapy and Neuro-Optometry?

    Vision therapy and neuro-optometric rehabilitation can help individuals of all ages. Whether you’re struggling with visual processing issues, binocular vision disorders, amblyopia (lazy eye), strabismus (eye misalignment), or have sustained a brain injury, our services might be beneficial for you. Contact us to discuss if our tailored approach can meet your specific needs and goals.

  • Do I Need a Referral to See an Optometrist at Opto-Mization?

    No, you do not need a referral for an eye exam at Opto-Mization. We welcome anyone who suspects they might benefit from our services, whether you’re experiencing symptoms of visual discomfort or just want to ensure optimal visual performance. Feel free to reach out and schedule your appointment directly with us to take the first step toward understanding and improving your visual function.

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    Yes, we offer direct billing for a variety of insurance plans to make the process as seamless and hassle-free as possible for our patients. Our knowledgeable staff is well-versed in working with insurance providers, ensuring that you can maximize your benefits while minimizing out-of-pocket expenses for our services, including vision therapy and eye exams.