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Warning-sign checks

Black eye: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Use emergency services for sudden loss of vision, severe or rapidly worsening eye pain, a bulging eye, an embedded object, uncontrolled bleeding, loss of consciousness, seizure, repeated vomiting, increasing confusion, new weakness, or difficulty waking.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek same-day medical advice for blurred or double vision, persistent eye pain, difficulty moving the eye, blood inside the eye, facial numbness, a deep eyelid cut, or significant swelling that prevents the eye from being assessed.

    People taking prescribed blood thinners should have a lower threshold for contacting a clinician after a head or facial injury.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine home monitoring is reasonable when the injury was minor, vision is normal, the eye moves normally, pain is mild, and swelling is gradually improving.

    The bruise should change color and fade rather than become increasingly painful or swollen.

    Arrange a routine medical review if the bruise is not improving, remains unexplained, or happens repeatedly.

    A clinician should also review easy bruising elsewhere, frequent nosebleeds, or other unusual bleeding.

    These symptoms may need an assessment of medicines or blood clotting.

    After a diagnosed concussion, eye injury, or facial fracture, attend the recommended follow-up even if the bruise looks better.

    Vision testing or specialist review may detect problems that cannot be judged from appearance alone.

Every sign above is quoted from the sofidex article on Black eye. If you are not sure, err upward — it is always reasonable to be checked.