There is a slight yellowing in the sclera beneath the eyes?
I recently noticed a slight yellowish tint in the sclera (the white part of my eye) beneath my eyes, and I'm not sure what it could be.
I'm a bit worried about it.
Additionally, could you please tell me if it's best to take a break from wearing contact lenses for a year after using them for 1-2 years? Thank you!
Vivian, 20~29 year old female. Ask Date: 2000/10/02
Dr. Huang Bozhen reply Ophthalmology
Conjunctival yellowing may be caused by chronic conjunctivitis, resulting from long-term use of eye drops leading to pigment deposition.
Additionally, yellowing could be a sign of jaundice, which can cause fatigue.
It is recommended to have a blood test to check liver function.
Furthermore, if contact lenses do not cause any ocular complications, they can be worn continuously without the need for a year-long break.
Reply Date: 2000/10/02
More Info
The yellowing of the whites of your eyes, known as scleral icterus, can be concerning and may indicate underlying health issues. This yellow tint is often associated with jaundice, which is caused by an accumulation of bilirubin in the bloodstream. Bilirubin is a byproduct of the breakdown of red blood cells, and when the liver is not functioning properly, it can lead to elevated levels of bilirubin, resulting in yellowing of the skin and eyes.
Several factors can contribute to the yellowing of the sclera. One common cause is liver dysfunction, which can stem from conditions such as hepatitis, cirrhosis, or bile duct obstruction. Other potential causes include hemolytic anemia, where red blood cells are destroyed faster than they can be produced, and certain genetic disorders. It's essential to consult a healthcare professional to evaluate your liver function through blood tests, especially if you notice other symptoms such as fatigue, abdominal pain, or changes in urine or stool color.
In addition to liver issues, the yellowing of the eyes can also be due to chronic eye conditions. For instance, chronic conjunctivitis or pinguecula, a growth on the conjunctiva, can lead to discoloration. If you have been using eye drops or medications for an extended period, they might also contribute to changes in the appearance of your eyes.
Regarding your concerns about contact lenses, it's crucial to follow proper care guidelines to maintain eye health. Contact lenses should be replaced according to the manufacturer's recommendations, which typically range from daily disposables to lenses that can be worn for a month or longer. If you have been wearing the same pair of contact lenses for 1-2 years, it is advisable to replace them, as prolonged use can lead to complications such as infections, corneal ulcers, or changes in vision.
While some people may suggest taking a break from contact lenses after extended use, this is not a universal requirement. The need for a break largely depends on individual circumstances, including how well your eyes tolerate the lenses, your hygiene practices, and any underlying eye conditions. If you experience discomfort, redness, or vision changes while wearing contact lenses, it is essential to consult an eye care professional. They can provide personalized advice based on your specific situation and help determine the best course of action for your eye health.
In summary, the yellowing of the whites of your eyes warrants further investigation to rule out any serious health issues, particularly related to liver function. Additionally, proper care and timely replacement of contact lenses are crucial for maintaining eye health. If you have any concerns or experience discomfort, do not hesitate to seek professional medical advice. Regular eye examinations are essential for monitoring your eye health and addressing any issues that may arise.
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