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February 8, 2012
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Black Eye

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Black Eye Overview

A black eye is a relatively common result of injury to the face or the head, caused when blood and other fluids collect in the space around the eye; swelling and dark discoloration result-hence, the name "black eye."

Most black eyes are relatively minor injuries. Many heal on their own in a few days; however, sometimes they signify a more serious injury.

Despite the name, "black eye," the eye itself is not usually injured. The tissues around the eye may be significantly discolored and swollen without any injury to the eye itself. Think of it as a bruise around the eye.

Like a bruise, as a black eye heals, the swelling around the eye decreases, and the bruise gradually fades away.

  • The skin around the eye is very loose, with mostly fat underneath. This makes it an ideal site for fluid to accumulate. The effects of gravity also help to swellthis part of the face. This is why many people wake up with "puffy" eyes in the morning.
  • When there is an injury to the face, the skin around the eye is one of the first places to swell. Depending on the location and type of injury, one or both eyes may be affected.

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Black Eye

Hyphema (Bleeding in Eye) Overview

Blunt trauma to the eye can cause bleeding in the front (or anterior chamber) of the eye between the cornea and the iris. This bleeding into the anterior chamber of the eye is called a hyphema.

The anterior chamber of the eye contains a clear liquid fluid called aqueous humor. The aqueous humor is secreted by the ciliary processes in the posterior chamber of the eye. The aqueous humor passes through the pupil into the anterior chamber. The aqueous humor provides important nutrition to the inner structures of the eye.

Hyphema Causes

Trauma to the eye may initially cause a small hyphema. More severe bleeding may follow in three to five days. This trauma is usually blunt or closed trauma, and it may be the result of an athletic injury from a flying object, a stick, a ball, or another player's elbow. Other causes include industrial accidents, falls, and fights.

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Read What Your Physician is Reading on Medscape

Orbital Fracture, Floor »

Orbital floor fractures may result when a blunt object, which is of equal or greater diameter than the orbital aperture, strikes the eye.

Read More on Medscape Reference »

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