Ecchymosis, or more commonly known as a “black eye," usually occurs from some type of trauma to the eye, causing the tissue around the eye to become bruised. Your child's doctor will examine the eye closely to make sure there's no damage to the actual eye itself.
Specific treatment for a black eye will be determined by your child's doctor based on:
Your child's age, overall health, and medical history
Extent of the injury
Your child's tolerance for specific medications, procedures, or therapies
Expectations for the course of the injury
Your opinion or preference
Most black eyes heal completely and don't cause any damage to the eye. Treatment may include:
Cold compresses to the eye for the first 24 hours
Warm compresses to the eye after the first 24 hours
Continued compresses until the swelling stops
Keep the child's head elevated to help decrease the amount of swelling
It's important to know that the swelling and bruise may appear to spread and go down the cheek or to the other eye. This is normal. Consult your child's doctor if the bruising and swelling doesn't resolve on its own.