Persistent Wrinkled Whites and Blood Vessels in Eyes: Causes and Solutions

Long-term wrinkling of the sclera with underlying prominent blood vessels?

Hello Doctor, my sclera has been wrinkled for a long time, with prominent blood vessels underneath.
The wrinkles are so severe at the outer corners of my eyes that I can't even rotate my eyeballs fully.
I have seen doctors multiple times and used prescribed eye drops, but there has been no improvement in the wrinkles or blood vessels.
What should I do? I have high myopia and only wear regular glasses; could this be affecting my symptoms? Thank you, Doctor.

Ke Ke, 30~39 year old female. Ask Date: 2016/08/11

Dr. Cai Wenyuan reply Ophthalmology

The persistent wrinkling of the sclera with underlying prominent blood vessels may be indicative of chronic conjunctivitis, and treatment should primarily focus on medication.
It is unlikely to be related to high myopia.
Thank you.

Reply Date: 2016/08/11

More Info

Persistent wrinkling of the sclera (the white part of the eye) along with visible blood vessels can be concerning and may indicate underlying issues that need to be addressed. Based on your description, it seems that you are experiencing a combination of symptoms that could be attributed to several factors, including your high myopia (nearsightedness), environmental influences, and possibly chronic eye strain.

Possible Causes
1. Chronic Eye Strain: Prolonged use of digital devices, reading, or any activity that requires intense focus can lead to eye strain. This strain can manifest as wrinkles in the sclera and the appearance of blood vessels due to increased pressure in the eye.

2. Dry Eye Syndrome: If your eyes are not adequately lubricated, it can lead to irritation and inflammation, which may cause the sclera to appear wrinkled and blood vessels to become more prominent. This is particularly common in individuals who spend long hours in front of screens.

3. High Myopia: Individuals with high myopia may experience changes in the structure of the eye over time, which can contribute to the appearance of the sclera. The elongation of the eyeball in myopia can lead to various changes, including the stretching of the sclera.

4. Environmental Factors: Exposure to dry, windy, or polluted environments can exacerbate symptoms of eye irritation and dryness, leading to the appearance of blood vessels and wrinkles in the sclera.

5. Allergic Reactions: Allergies can cause inflammation and irritation of the eyes, leading to symptoms such as redness and visible blood vessels.

Recommendations and Solutions
1. Consult an Eye Specialist: Since you have already seen doctors and used eye drops without improvement, it may be beneficial to seek a second opinion from a specialist, particularly one who focuses on corneal or external eye diseases. They may conduct a thorough examination, including imaging studies, to assess the condition of your sclera and overall eye health.

2. Artificial Tears: If dry eyes are a contributing factor, using preservative-free artificial tears can help lubricate your eyes and reduce irritation. These can be used multiple times a day as needed.

3. Limit Screen Time: Implement the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This can help reduce eye strain.

4. Environmental Adjustments: Use a humidifier in your home or office to maintain moisture in the air, especially if you live in a dry climate. Additionally, consider wearing sunglasses to protect your eyes from wind and UV exposure when outdoors.

5. Eye Exercises: Gentle eye exercises can help relieve strain. For example, rolling your eyes or focusing on near and far objects can help relax the eye muscles.

6. Healthy Lifestyle: Ensure you are getting enough sleep, staying hydrated, and maintaining a balanced diet rich in omega-3 fatty acids, which are beneficial for eye health.

7. Avoid Rubbing Your Eyes: Rubbing can exacerbate irritation and lead to further complications. If you feel the need to rub your eyes, try using artificial tears instead.

8. Regular Eye Exams: Given your high myopia, regular eye exams are crucial to monitor any changes in your vision and eye health. Discuss your symptoms in detail with your eye care provider to ensure a comprehensive approach to your treatment.

In summary, while the symptoms you are experiencing can be distressing, they are often manageable with the right approach. It is essential to work closely with your eye care provider to determine the best course of action tailored to your specific needs.

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