Bruising or Black Eye (Ecchymosis)
What is ecchymosis or bruising of the eye?
Ecchymosis, or more commonly known as a “black eye," usually happens from some type of trauma to the eye. The trauma causes the tissue around the eye to become bruised. Your child's healthcare provider will examine the eye closely to make sure there's no damage to the eye itself.
What is the treatment for a black eye?
Specific treatment for a black eye will be determined by your child's healthcare provider based on:
Your child's age, overall health, and medical history
Extent of the injury
Your child's tolerance for specific medicines, procedures, or therapies
Expectations for the course of the injury
Your opinion or preference
Most black eyes heal completely and don't cause any damage to the eye. Treatment may include:
Cold compresses to the eye for the first 24 hours
Warm compresses to the eye after the first 24 hours
Continued compresses until the swelling stops
Keep the child's head elevated to help decrease the amount of swelling
It's important to know that the swelling and bruise may appear to spread and go down the cheek or to the other eye. This is normal. Talk with your child's healthcare provider if the bruising and swelling doesn't resolve on its own.
March 21, 2017
Eye Injury. American Academy of Pediatrics
Bogus, William J., OD, FAAO,Griggs, Paul B., MD