Spontaneous Bruised Eyelid Symptoms, Causes and Treatment

A bruised eyelid can make you conscious about your appearance. Below we look at the causes, symptoms, overnight, spontaneous and unexplained eyelid bruising.

Bruised Eyelid

According to nhs.uk, bruises are purplish or bluish marks that appear on the skin when blood capillaries burst or break beneath the skin. As a result, blood leaks from these blood vessels and pools in soft tissues beneath the skin.  

Since the events that lead to bruising are not serious enough to cause a tear or cut on the skin, the blood has no exit and therefore pools at the point of injury. It is as a result of this that bruises appear as discolored spots on the skin. Once they have formed, bruises will feel swollen and tender.

Bruised Eyelid Symptoms

Bruising is quite obvious. It starts off as a reddish spot at the point of injury. This then turns dark to appear blue or purple in the following hours. As it continues to heal, the injury may then turn green or yellow.

In addition to color changes, a bruised eyelid will be tender and painful to touch. These symptoms will minimize with the fading of the color.

Eyelid bruises have minimal risks of eye infection as the skin does not break after the injury.

Bruised Eyelid Causes

With the above in mind, what would cause a bruised eyelid? Like indicated above, bruising occurs as a result of internal bleeding. This can be precipitated by a number of things including those mentioned below.

Daily Activities

Any individual involving themselves in vigorous activities could get a bruised eyelid. Toddlers who are still learning to walk, play a certain game or ride a bike could easily miss their steps and end up with bruises on their eyelids and other parts of the body.

Grownups who play contact sports such as soccer players, boxers and rugby players are also likely to get bruised eyelids. Another issue that may accompany eyelid bruising in such cases is a black eye.


People taking certain types of medication are more predisposed to bruising. Patients on blood thinners and other drugs that are likely to make blood clotting hard such as aspirin get bruises easily. As a result, any minor trauma will result in the blood taking too long to clot which leads to a significant amount of blood pooling beneath the skin.

On the other hand, corticosteroids lead to thinning of the skin. As a result, your skin is left vulnerable and is likely to suffer injury easily. This will see your eyelids bruise quite easily.


With age comes a weakening of the immune system as well as other systems in the body. Old people tend to have fragile blood vessels than younger people. As a result, their blood capillaries are likely to bleed beneath the skin under minimal trauma.

In addition, the protective fat layer found beneath the skin and which is responsible for cushioning blood vessels grows thin. The blood vessels are thus left more exposed to external forces which could see the elderly getting a bruised eyelid easily.

Health Conditions

People with a blood clotting disorder or blood diseases such as leukemia are more likely to experience a bruised eyelid than people without the condition.

Bruise on Eyelid for No Reason and without Injury or Trauma

True bruises only occur where there have been some form of trauma inflicted on the eyelid. It is not all the time that the injury may be obvious which makes eyelids to bruise for seemingly no reason. As a result, a bruise on eyelid for no reason or without injury is presumed. This is more so in cases where the bruising was as a result of the skin being subjected to insignificant compression or where the affected person has no recollection of the injury subjected to that part of the skin.

Where the above does not apply, a bruised eyelid for no reason may be as a result of certain predisposing factor. These make the skin easy to get injured and the blood capillaries are left susceptible to bursting. This will see the eyelids hurt from slight trauma. Such factors include auto immune disorders, platelet abnormalities and allergic reactions.

Bruise on Eyelid Overnight

Did you wake up with a bruised eyelid and are wondering what it could be? A bruise on eyelid that occurs overnight is likely to be as a result of blunt trauma. This may be caused by hitting on something as you sleep, tagging too tight on the bedding or even severe scratching. Overnight eyelid bruises could also occur as a result of vigorous makeup removal before sleeping.

Spontaneous Eyelid Bruising – Unexplained Bruised Eyelid

Unexplained or spontaneous bruising of the eyelids usually occurs with no obvious injury. However, in normal circumstances, a healthy individual should not experience unexplained or spontaneous bruising. It is possible for people to experience these as a result of hereditary conditions or acquired disorders.

In addition, anything that causes interference with the bleeding and clotting of blood could see you experiencing unexplained eyelid bruising. This can occur as a result of drugs such as aspirin or corticosteroids. The fragile nature adopted by blood vessels as a person ages could also contribute to spontaneous bruised eyelids.

In case the problem persists and where other areas are also affected, it is important to see your doctor for evaluation so that an appropriate diagnosis can be offered. The underlying cause will be discovered and treated for better eyelid skin health.

Bruising after Eyelid Surgery

The eyes are a prominent feature of the face. People attribute value in differing extents. It is, therefore, common for people to want to undergo surgery. This can be done to either add aesthetic value or to correct an anomaly. In most cases, eyelid surgery is done on the upper eyelid.

Blepharoplasty is quite a complex procedure as it involves incisions, lifting and at times removal of unwanted skin. Once the procedure is finished, getting a bruised eyelid maybe inevitable. In addition to this, swelling will also be experience. These symptoms should, however, subside after 48hours.
To ease the pain, swelling and bruising after eyelid surgery, follow the aftercare instructions given by your surgeon and in case of any concerns contact them.

Bruised Eyelid Treatment - How to get Rid of Bruise on Eyelid

Bruises are as a result of minor injuries. As such, they will rarely require the attention of a medical practitioner. Left on its own, a bruised eyelid will heal within a few days.

To hasten the healing process and improve the appearance of the bruise on eyelid, here is how to treat a bruised eyelid  and other additional remedies for the same.

1. Apply Ice Packs

Applying ice packs or cold compressed on the bruised eyelid results in constriction of the blood vessels. This helps to stop seepage of the blood to the injured spot. This is also a great remedy for associated pain as it numbs the area.

Apply the cold compress for 15 minutes after every hour for the first 24 hours after formation of the bruise on eyelid.

 2.Heat Compresses

After the passing of the first 24 hours, it is now time to switch to warm compresses. These have the opposite effect and allow for the dilation of blood vessels which in return enhances circulation of blood to the bruised eyelid. This way, removal of the pooled blood is hastened resulting in fast healing of the bruise. Apply the warm compresses for the next 48 hours.

3.Bruise Ointments

In addition to the above home treatments for bruises on eyelid, you could purchase ointments for topical use. These help in diminishing the discoloration as well as hasten the elimination of the bruise marks.


In case you are wary of the bruises on your eyelids, you can make use of dark sunglasses to conceal them. In addition to hiding the ugly marks, they will also aid in protecting the bruises from light sensitivity which can cause an uncomfortable feeling.

When to See a Doctor

Like indicated earlier, bruises can heal on their own. However, this should only be allowed where the cause is obvious. In case you experience spontaneous bruised eyelid, it is important to see your general practitioner for correct diagnosis. In addition, always see your doctor where the bruise does not seem to get better or if it is accompanied by swelling and pain as these could indicate eyelid infection.



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