Eye Care Series 1: just sharing what i know best



  • Injuries to the eye, eyelid, and area around the eye.


  • The main concern is whether the vision is damaged.
  • Older children can tell us if their vision is blurred or out of focus. Test them at home by covering each eye in turn and having them look at a distant object.
  • Children less than 5 years old usually need to be examined to rule out serious injuries affecting vision even if the injury seems minor.


Call Your Doctor Now (night or day) If

  • You think your child has a serious injury.
  • Vision is blurred or lost in either eye.
  • Child reports double vision or unable to look upward.
  • Pupils unequal in size or abnormal shape.
  • Bloody or cloudy fluid behind the cornea (clear part).
  • Object hit the eye at high speed (such as from a lawn mower).
  • Sharp object hit the eye (such as metallic chip).
  • Skin is split open or gaping and may need stitches.
  • Any cut on the eyelid or eyeball.
  • Constant tearing or blinking.
  • Child keeps the eye covered or refuses to open it.
  • Severe pain.
  • Age less than 1 year old.

Call Your Doctor Within 24 Hours (between 9am and 4pm) If

  • You think your child needs to be seen.
  • Bruises near the eye (such as a black eye or bleeding into the white of the eyeball) in child less than 5 years old.

Call Your Doctor During Weekday Office Hours If

  • You have other questions or concerns.

Parent Care at Home If:

  • Mild eye injury and you don't think your child needs to be seen.


  1. Superficial Cuts or Scrapes:
    • Apply direct pressure for 10 minutes with a sterile gauze to stop any bleeding.
    • Wash the wound with soap and water for 5 minutes. (Protect the eye with a clean cloth.)
    • Apply antibiotic ointment to cuts. Cover large scrapes with Band-Aid. Change daily.
  2. Swelling or Bruises with Intact Skin (including a Black Eye):
    • Apply an ice pack for 20 minutes per hour to reduce the bleeding. Repeat for 4 consecutive hours.
    • Note: A black eye usually takes 1 to 2 days to develop. A flame-shaped bruise of the white of the eyeball is also common.
    • Apply a warm wash cloth for 10 minutes 3 times per day after 48 hours to help reabsorb the blood.
  3. Pain Medicine: Give acetaminophen (e.g. Tylenol) or ibuprofen as necessary for pain relief.
  4. Expected Course: Both of these injuries are harmless, last about 2 weeks and cannot be helped by any medicine.
  5. Call Your Doctor If:
    • Pain becomes severe.
    • Changes in vision.
    • Your child becomes worse or develops any of the "Call Your Doctor" symptoms.
Blood on Ocular Surface

© American Academy of Ophthalmology

Torn Iris

© American Academy of Ophthalmology

Traumatic Eyelid Laceration

© American Academy of Ophthalmology

Rupture of Cornea with Iris Prolapsing Out

© American Academy of Ophthalmology

Rupture of Cornea with Iris Prolapsing Out

© American Academy of Ophthalmology

Blood Layering out in Front Part of Eye
© American Academy of Ophthalmology (Hyphema)