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Tuesday, December 13, 2011

Black Eye

Black Eye
This morning's racquetball game was going so
well--until your opponent hit that unbelievable shot
that bounced off the wall and hit you right in the
eye. After he finished apologizing profusely and the
pain subsided somewhat, you picked up your ego
and went home. But now you're beginning to
resemble a prizefighter who lost the prize! Your
eyelid is nearly swollen shut, the area around your
eye is turning black and blue, and the throbbing
pain is back in full force. You're starting to wonder
if there's more to this injury than meets the eye.
As horrifying as a black eye can look--and as
embarrassing as it can be to explain--it is usually
nothing that will cause lasting or serious damage.
"A black eye is simply a hemorrhage around the
eye. The blood underneath the skin comes through
as a purplish color. While there are many diseases
and conditions that can cause black eyes [see
"Other Causes of Black Eyes"], a true shiner is
most often the result of trauma to the eye caused by
a fistfight or a sports injury," says Jon H. Bosland,
M.D., a general ophthalmologist in private practice
in Bellevue, Washington. "If the swelling comes
down rapidly and your vision is good, it is not
likely that there is any serious damage to the eye,"
he says.
Still, Bosland urges anyone with a black eye to see
a doctor in order to rule out damage to the eye itself.
(It is especially important to see a doctor without
delay if there is any change in vision.) Once you
are sure everything is all right, there are some steps
you can take at home to care for your shiner. There
are also some preventive measures that you can
take to help keep your eyes out of the black in the
future.
Ice the area.
"This will reduce the swelling and numb some of
the initial pain," says Carol Ziel, M.D., an
ophthalmologist with the Eye Clinic of Wausau in
Wisconsin. Hold an ice pack or some ice cubes
wrapped in a washcloth on the eye. "Putting
crushed ice in a plastic bag and placing the bag on
top of a cold washcloth over the eye also works
well," says Charles Boylan, M.D., a pediatric
ophthalmologist at A Children's Eye Clinic of
Seattle.
Pack it in popcorn or peas.
A bag of frozen, unpopped popcorn kernels or
frozen peas placed over a washcloth on the affected
eye can also help cool the area and bring some
relief.
Clean it up.
Clean any small lacerations with mild soap and
water. "Then continue to keep them clean and dry,"
says Ziel. This will help to keep the area from
becoming infected with bacteria. "Some-times, the
tissue around the eye can actually split because the
soft tissue is being pushed against a hard surface of
underlying bone. You can get a considerable
hemorrhage from this, which can leave a bit of a
lump afterward," adds Bosland.
Avoid pressing on the eye itself.
The area has already been traumatized enough, and
pressing on it will only cause further trauma, says
Bosland. So be gentle when you apply an ice pack
or clean the area.
Keep your chin up.
OK, so you look and feel a little like Rocky Balboa.
Be thankful you can see yourself in the mirror, and
try to resign yourself to the added color for a while.
"The discoloration tends to last one to two weeks,"
says Bosland. It will lessen during that time, but it
won't fade completely for a couple of weeks or so.
Wear goggles.
As is true with so many injuries, the best treatment
is prevention. While you may not necessarily like
the way you look in goggles, wearing them can
help you ensure that you'll be able to see the way
you look. Any sport that involves close contact
with other individuals and/or the use of a small ball
of some sort is likely to put you at risk for a black
eye. "The majority of black eyes we see are caused
by the eye being hit by an elbow, hand, or knee or
by an object small enough to fit inside the bony
structure around the eye," says Boylan. Tennis
doesn't really qualify because the ball is too big.
But squash, racquetball, and skiing (the end of the
pole can hit the eye) are particularly dangerous to
the eye. And basketball, where arms and legs are
flying in close quarters, can also leave you
vulnerable to a nasty black eye. To protect your
eyes, Boylan suggests that you wear protective eye
wear, such as goggles or even glasses with
shatterproof glass or plastic lenses. "Anyone with
only one good eye should always wear protective
eye wear if there is a chance of being hit with
anything," stresses Boylan. As far as how to
choose the right goggles or glasses, it's not too
difficult. "Make sure the lenses are shatterproof and
the glasses or goggles fit comfortably," says Boylan.
"The goggles worn by squash and racquetball
players often don't contain any lenses, and that's
OK. The frame itself will keep the ball away from
the eye," he continues. Most sporting goods stores,
as well as eye-wear stores, carry protective eye
wear for sporting events. If you can't locate any,
consult your eye doctor.

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