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Having Black Eye Underneath, Just Below Tear Duct And Spreads About Half Way Under Eye. Advise?

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Posted on Wed, 3 Jul 2013
Question: I woke up this morning with a black eye underneath my left eye. It looks like it starts from just below my left tear duct and spreads about half way under my left eye, the rest of the area looks puffy. I don't recall any trauma whatsoever. I am 55 years old and do not take any meds. Please help this has freaked me out!!!
doctor
Answered by Dr. Dr. Shruti Rijhwani (2 hours later)
Dear Madam,

Thank you for posting your query on XXXXXXX

Well, black eye generally occurs due to bruising around the eyes that leads to rupture of capillaries and accumulation of blood .

It is generally caused by a blunt trauma to the face but since you dont give any such history then it is unlikely cause . Sometimes it is due to allergic reactions also or any surgical procedure on face plus acute sinusitis can rarely lead to this . Taking oral anticoagulants may be a risk factor but you are not taking any medication which rules it out .

I can advise you to see an ophthalmologist at the earliest to determine the cause
as delaying in medical advise may aggravate the problem . Till then keep an ice pack over your eye and you may take some analgesic like paracetamol for pain relief . Kindly seek medical help at earliest.

Get well soon .

Take care.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Dr. Shruti Rijhwani (3 hours later)
Just wanted to add that it is not swollen very much and I have no pain at all.
Could it be possible that I did this somehow in my sleep, since I woke up with it?
Thank you so much for your time!
doctor
Answered by Dr. Dr. Shruti Rijhwani (18 hours later)
Dear Madam,

Well one thing can be said that since there is no pain and swelling, it is less it is less likely to be serious . Yes, sometimes it happens that you might have hurt yourself during sleep but don't remember but please have an expert opinion over this issue as it is very difficult to comment just on history . Physical examination is very important .

Take care.

Dr. Shruti
Above answer was peer-reviewed by : Dr. Vasanth
doctor
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Follow up: Dr. Dr. Shruti Rijhwani (29 minutes later)
Thankyou Dr. XXXXXXX for your response & helpfullness. I am going to go ahead and make an appointment in the morning. Have a wonderful Sunday, and "Happy Father's Day."
doctor
Answered by Dr. Dr. Shruti Rijhwani (4 minutes later)

Dear Madam,

Take care . Get well soon . Happy Fathers day to you too.

Wish you good health.

Dr. Shruti.

Above answer was peer-reviewed by : Dr. Vasanth
doctor
Answered by
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Dr. Dr. Shruti Rijhwani

Rheumatologist

Practicing since :2008

Answered : 2366 Questions

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Having Black Eye Underneath, Just Below Tear Duct And Spreads About Half Way Under Eye. Advise?

Dear Madam,

Thank you for posting your query on XXXXXXX

Well, black eye generally occurs due to bruising around the eyes that leads to rupture of capillaries and accumulation of blood .

It is generally caused by a blunt trauma to the face but since you dont give any such history then it is unlikely cause . Sometimes it is due to allergic reactions also or any surgical procedure on face plus acute sinusitis can rarely lead to this . Taking oral anticoagulants may be a risk factor but you are not taking any medication which rules it out .

I can advise you to see an ophthalmologist at the earliest to determine the cause
as delaying in medical advise may aggravate the problem . Till then keep an ice pack over your eye and you may take some analgesic like paracetamol for pain relief . Kindly seek medical help at earliest.

Get well soon .

Take care.

Dr. Shruti