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Dr. Andrew Rynne

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Blackened red eyelid, slight swelling, no trauma to eye, no vision disturbances. Causes?

I have a dear friend whom woke up one morning with a blackened/ red eye lid. There was a slight swelling but no tingle sensation/ numbness. The discoloration goes over her upper eye lid to almost her nose . She did not receive any trauma to the eye. There is no vision problems, and no other apparent symptoms? I am worried that this could be a secondary condition? I have researched this , and I have come up with no ideas. Any thoughts? Thank you in advance!
Thu, 25 Oct 2012
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM
The most common cause of black/red eye is trauma and black color appears due to collection of blood in the soft tissue around the eye.
So, try to memorize any instance of trauma to the face or head region.
Causes of black are as follows:
1. A blow to the nose often causes both eyes to swell because the swelling from the nasal injury causes fluid to collect in the loose tissues of the eyelids.
2. Surgical procedures to the face, such as a facelift, jaw surgery, or nose surgery, can cause black eyes
3. A certain type of head injury, called a basilar skull fracture, causes both eyes to swell and blacken.
There are some other conditions which just cause sweeling of eyes without causing blackening. These are allergic reaction, cellulities, angioedema and dental infections.

Visit your doctor and get a CT head and face done to know the black eye.

Thanks and take care
Dr Shailja P Wahal
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