What to do if…
you hit your eye and now have worsening pain or blurred vision
Short answer
Worsening eye pain or blurred vision after a hit to the eye needs emergency medical care now. Go to an emergency department, or call 911 if you cannot safely get there.
Do not do these things
- Do not wait overnight to see if worsening pain or blurred vision improves.
- Do not rub, press on, or squeeze the injured eye.
- Do not try to remove anything embedded or stuck in the eye.
- Do not put pressure on the eyelid with a patch, ice pack, bandage, or cup.
- Do not wear contact lenses after the injury.
- Do not use leftover, prescription, antibiotic, steroid, or numbing eye drops unless a clinician tells you to.
- Do not drive yourself if your vision is blurred or double, you feel dizzy, or you do not feel safe to drive.
What to do now
- Get emergency care now if vision is blurry or the pain is worsening. Go to an emergency department if you have blurred or decreased vision, severe or worsening pain, double vision, new flashes or floaters, a shadow or curtain in your vision, blood in the eye, a pupil that looks uneven or oddly shaped, nausea, vomiting, a significant headache, trouble opening or moving the eye, or a high-speed impact from a ball, tool, flying object, or lawn equipment.
- Call 911 if travel is not safe. Call if you cannot see well enough to travel safely, you are alone without safe transport, you feel faint or very unwell, or you think the eye may have been cut or penetrated.
- Protect the eye while you are getting help. Keep activity low. If there may be an embedded object, or you are worried about bumping the eye, loosely shield it with a rigid cover such as a clean paper cup taped to the bones around the eye, not pressed onto the eyelid or eyeball.
- Use cold gently only if there is no cut or embedded object. For a simple blow with swelling, you can hold a cool compress near the eye for comfort, but do not press on the eye.
- Do not delay care because of contact lenses. If rapid swelling is starting and a contact lens comes out easily, remove it. If it is painful, stuck, or hard to remove, leave it alone and tell the clinician that you are wearing contacts.
- Do not use numbing drops. Numbing drops can hide worsening symptoms and should only be used when a clinician gives them or specifically instructs you to use them.
- Bring the key details. Tell the clinician when the injury happened, what hit your eye, whether it was high-speed, whether vision changed, and whether you have light sensitivity, double vision, new flashes, new floaters, blood in the eye, nausea, or worsening pain. Bring your medication list, contact lens details, and any eye prescriptions if they are easy to grab.
What can wait
- You do not need to work out the exact cause before seeking care.
- You do not need to try home remedies, eye washes, or leftover drops first.
- You do not need to decide about insurance details, reporting, sports return, work return, or follow-up scheduling until after the eye has been checked and you are stable.
Important reassurance
Eye symptoms can change over hours after an injury, and a serious eye problem is not always obvious from how the eye looks. Getting checked urgently is the safest next step when pain is worsening or vision is affected.
Scope note
These are first steps for the first day after an eye impact. Later decisions may need help from an emergency clinician, ophthalmologist, or other specialist.
Important note
This guide is general information, not medical advice, diagnosis, or professional advice. If you have worsening pain, blurred vision, or any vision change after an eye injury, seek urgent medical care.
Additional Resources
About this guide
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