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When to go to the ER for a child’s eye injury

If your child was hit in the eye, scratched the eye, got something stuck in it, or is having eye pain or vision changes after an injury, get clear next-step guidance fast. We’ll help you understand when an eye injury may need the emergency room and when urgent follow-up may be enough.

Answer a few questions for guidance on your child’s eye injury

Tell us what happened and what symptoms your child has right now, and we’ll provide personalized guidance on whether this sounds like an ER situation, urgent care need, or something to monitor while you arrange care.

What is making you most worried right now about your child’s eye injury?
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Eye injuries in children can change quickly

A child may seem okay at first and then develop worsening pain, swelling, trouble opening the eye, or changes in vision. Injuries from a scratch, a direct hit, chemicals, or a sharp object can affect the surface of the eye or deeper structures. This page is designed to help parents decide when to take a child to the ER for an eye injury and when prompt same-day medical care is important.

Signs an eye injury may be an emergency

Vision changes or trouble seeing

Go to the ER right away if your child has blurry vision, double vision, loss of vision, new blind spots, or says they cannot see normally after an eye injury.

Severe pain, bleeding, or a deep cut

Emergency care is important if there is severe eye pain, bleeding from the eye, a cut near the eye that may need repair, or the eye looks misshapen after trauma.

Chemical exposure or something stuck in the eye

If a chemical got into the eye, start flushing with clean water immediately and seek urgent emergency care. If an object seems embedded in the eye, do not remove it and go to the ER.

Common situations parents worry about

Child scratched eye

A scratched eye can cause pain, tearing, redness, and light sensitivity. If your child cannot open the eye, has worsening pain, or has any vision change, emergency evaluation may be needed.

Child hit in the eye

A hit from a ball, toy, elbow, or fall can cause swelling and bruising, but it can also injure the eye itself. Go to the ER if there is severe pain, vomiting, double vision, or concern for a fracture or serious eye trauma.

Eye pain after an injury

Eye pain that is strong, persistent, or paired with light sensitivity, tearing, or trouble seeing should not be ignored. Pain out of proportion to what you can see on the outside can still signal a serious injury.

What to do right now

Do not rub or press on the eye

Rubbing can worsen a scratch or push debris deeper. If there may be a serious injury, avoid putting pressure on the eye.

Flush only when appropriate

If there was chemical exposure or loose debris, gently rinse with clean water right away. Do not keep trying to flush if an object appears stuck in the eye.

Get help quickly for red-flag symptoms

If your child has vision changes, severe pain, bleeding, a penetrating injury, or cannot open the eye after trauma, seek emergency care now. Use the assessment for personalized guidance based on what happened.

Frequently Asked Questions

When should I take my child to the ER for an eye injury?

Take your child to the ER if there is trouble seeing, severe eye pain, bleeding from the eye, a cut near the eye, chemical exposure, an object stuck in the eye, a misshapen pupil, or significant swelling after a hit to the eye or face.

Is a scratched eye in a child an emergency?

Sometimes. A mild scratch may need prompt medical care but not always the ER. If your child has strong pain, light sensitivity, trouble opening the eye, or any vision change after a scratch, emergency evaluation is important.

My child was hit in the eye but seems mostly okay. Should I still worry?

Yes, because some eye injuries are not obvious right away. Watch closely for worsening pain, swelling, double vision, vomiting, headache, or changes in vision. If any of these happen, seek urgent care right away.

What if something is stuck in my child’s eye?

If it looks like loose debris, gentle rinsing may help. If the object appears embedded, do not try to remove it. Protect the eye from pressure and go to the ER.

Get personalized guidance for your child’s eye injury

Answer a few questions about the injury, symptoms, and what you’re seeing now. You’ll get clear, topic-specific guidance to help you decide whether your child may need the emergency room as soon as possible.

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