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What causes black eye with swelling after an injury to the face?

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Posted on Mon, 1 Jun 2015
Question: Good morning, I'm a hockey player and took an accidental helmet to the face last night. I have a black eye but no pain nor vision disruption/distortion. Today, I blew my nose and my eye swelled. I could use some advice. Thanks!
doctor
Answered by Dr. Chobufo Ditah (12 minutes later)
Brief Answer:
Please, upload an image for review!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about this accident you sustained yesterday. With no pain and perfect vision, there is no reason to be too afraid. The black eye is suggestive of blood collection underneath the skin surface. It would be slowly taken care of by the skin.

To make sure there is nothing concerning am missing out on, I will like you to provide an image for review. this way, your response would be very much personalized and tailored to meet your needs.

To upload an image, simply click on the link to upload a file and follow the instructions. If this proves difficult, please send the image by mail to YYYY@YYYY and request that the image should be uploaded to your query.

I hope to hear from you. I wish you a speedy recovery. If there are any more questions, feel free to ask them alongside the image.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (17 minutes later)
Dr. Ditah,

My right eye is obviously the affected eye. Shown is the swelling that I described AFTER I blew my nose. Previous to me blowing my nose, I had the black eye but it wasn't swollen. When my eye was swollen, there was some blurring of vision, but that diminished as the swelling subsided. There has been no vision problems with the injury, just some disruption with the swelling. Is this something that I need to visit a doctor for or what is the treatment for this injury? I'm suspecting that it's a broken bone that's allowing my sinuses to "leak" into my eye's region when I blow my nose. Will time eventually heal the injury? Thanks in advance!
doctor
Answered by Dr. Chobufo Ditah (11 minutes later)
Brief Answer:
A broken bone would have been quite painful!

Detailed Answer:
Hi,

But for this swelling you have reported, I would not have been any worried about the image i just reviewed. For now, I am not sure you need a doctor because this should normally resolve spontaneously. If you sustained a fractures, at least that should have been a pain. Without pain, am hesitant to say there could be a fracture.

If this swelling happens all the times you blow your nose, I would rather be aggressive to cover up with antibiotics because the content of the nose is not sterile and should it get into the space around the eye, the infection could be of concern.

In all, monitor again. If blowing consistently causes the eye to swell, then I will suggest that you go ahead and see a doctor. If that is not the case, then we can expect spontaneous resolution of symptoms.

I hope this helps. I wish you well and feel free to keep the discussion going if need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (12 minutes later)
There's no spontaneous pain, only when I press on it. I'll monitor the swelling. After a few days, if the swelling continues when I blow my nose, I'll see my doctor. If I see an improvement, I'll assume I am healing.

Thank you!
doctor
Answered by Dr. Chobufo Ditah (16 minutes later)
Brief Answer:
I totally agree with you on that!

Detailed Answer:
Hi,

I agree with the plan you have adopted. If you feel there is need for further guidance, I am always here to address your worries. Try not to blow the nose too hard to see whether the eye swells or not. Be gentle and blow just enough for relief of any blockage.

If in doubts, am right here for you. Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (3 minutes later)
Thank you for your time doctor. Best wishes.

doctor
Answered by Dr. Chobufo Ditah (7 minutes later)
Brief Answer:
Thanks and same to you!

Detailed Answer:
Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6320 Questions

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What causes black eye with swelling after an injury to the face?

Brief Answer: Please, upload an image for review! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about this accident you sustained yesterday. With no pain and perfect vision, there is no reason to be too afraid. The black eye is suggestive of blood collection underneath the skin surface. It would be slowly taken care of by the skin. To make sure there is nothing concerning am missing out on, I will like you to provide an image for review. this way, your response would be very much personalized and tailored to meet your needs. To upload an image, simply click on the link to upload a file and follow the instructions. If this proves difficult, please send the image by mail to YYYY@YYYY and request that the image should be uploaded to your query. I hope to hear from you. I wish you a speedy recovery. If there are any more questions, feel free to ask them alongside the image.