It's common for a speck of dirt to get blown into your eye, for soap to wash into your eye, or for you to accidentally bump your eye. For these types of minor eye injuries, home treatment is usually all that's needed.
Some sports and activities increase the risk of eye injuries.
Direct blows to the eye can damage the skin and other tissues around the eye, the eyeball, or the bones of the eye socket. Blows to the eye often cause bruising around the eye (black eye) or cuts to the eyelid. If a blow to the eye or a cut to the eyelid occurred during an accident, be sure to check for injuries to the eyeball itself. And check for other injuries, especially to the head or face. Concern about an eye injury may cause you to miss other injuries that need care.
Burns to the eye may be caused by chemicals, fumes, hot air or steam, sunlight, tanning lamps, curling irons or hair dryers, or welding equipment. Bursts of flames or flash fires from stoves or explosives can also burn the face and eyes.
A foreign object in the eye, such as dirt, an eyelash, a contact lens, or makeup, can cause eye symptoms.
In the case of a car air bag inflating, all three types of eye injuries can occur. The force of impact can cause a blow to the eye, foreign objects may enter the eye, and chemicals in the air bag can burn the eye.
You can prevent eye injuries by using protective eyewear. Wear safety glasses, goggles, or face shields when you work with power tools or chemicals. And use this eyewear when you do any activity that might cause an object or substance to get into your eyes. Some professions, such as health care and construction, may require workers to use protective eyewear to reduce the risk of foreign objects or substances or body fluids getting in the eyes. If you have sight in only one eye, wear a sports eye protector under a face shield for added protection.
After an eye injury, you need to watch for vision changes and symptoms of an infection. Vision changes include flashes of light (photopsia) and new floaters. Signs of infection include pain and blurred vision. Most minor eye injuries can be treated at home.
Some minor pain, bruising, and swelling are common following a blow to the eye. A black eye may show up after 1 or 2 days. A few specks or a small amount of blood on the white part of the eye often appear after a blow to the eye. Use home treatment to help relieve your symptoms.
A direct blow to the eye can damage the eyeball, the supporting muscles and ligaments, the eyelid, or the bony eye socket (orbit). Symptoms that may mean there is a more serious injury include:
With a blow to the eye, there is a chance that something punctured the eyeball.
If there was a blow to the eye, check for other injuries. Concern about the eye may cause you to miss other more serious head or face injuries that need medical care. Also check to see whether the injured person is wearing contact lenses.
A blow to the eye can break (fracture) the bones of the eye socket (eye orbit), sinuses, or nose. The fractured bones may puncture the eye, causing bleeding and damage to the eye. A blow to the eye may damage muscles, blood vessels, or nerves. Head, eye, or facial surgery may be needed to repair damage.
With an injury to the eye, the muscles that control the pupil size and shape can be damaged. These muscles control the ability of the pupil to change in size and keep its round shape.
An injury that punctures the eyeball may cause a teardrop-shaped pupil.
An injury to the eye may also cause the pupils to react differently to light or to be different sizes.
Call your doctor for an evaluation if you have a change in the size or shape of your pupil after an injury to your eye.
Most minor eye injuries can be treated at home.
Try a nonprescription pain medicine such as acetaminophen, ibuprofen, or aspirin to relieve pain. It's not recommended that you take aspirin if you are age 20 or younger.
If you are concerned that your eye symptoms may be more serious, you may need to check with your doctor.
Ice and cold packs can reduce the pain, swelling, and bleeding of an injury. Cold therapy is usually used immediately after an injury.
For an eye injury, use one of the following methods:
Wet a towel with cold water and squeeze it until it is just damp. Fold the towel, place it in a plastic bag, and freeze it for 15 minutes. Remove the towel from the bag and place it on the eye. Use this method when an ice pack is too heavy to put on the eye.
Place ice in a plastic, leak-proof bag wrapped in a single layer of cloth, such as a towel or washcloth. The ice can be cracked into small pieces to make the pack more flexible. Do not place ice directly on the skin.
Use a small bag of frozen peas or corn wrapped in a towel.
Do not use chemical cooling packs. If the pack leaks, the chemicals could cause more eye damage.
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