Eye White Issues: Symptoms and Treatment Options

Issues with the sclera?

Hello, Doctor.
Recently, I observed that the sclera at the corner of my eye seems to be slightly elevated.
When I pull down my lower eyelid, I can see folds at the junction between the eyeball and the lower eyelid.
There are also often blood vessels visible at the corner of my eye, and sometimes the caruncle appears to have a pinkish-orange tint.
Additionally, I feel that my lower eyelid seems to be slightly everted (a classmate mentioned that there is a white line at the edge of my eye).
I would like to ask if this is a sign of conjunctival laxity? If so, what treatments or relief options are available?

Xiao Lin, 20~29 year old female. Ask Date: 2019/03/19

Dr. Cai Wenyuan reply Ophthalmology

Hello, please observe and see if the symptoms persist before seeking medical attention.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/03/19

More Info

The symptoms you are experiencing, such as the appearance of folds in the white part of your eye (sclera), bloodshot eyes, and changes in color at the eye corners, can indeed be indicative of several underlying conditions, including conjunctival laxity or other forms of conjunctival inflammation.
Conjunctival laxity, also known as conjunctivochalasis, occurs when the conjunctiva (the membrane covering the white part of the eye) becomes loose and can lead to discomfort and visual disturbances. This condition is often associated with aging, prolonged contact lens wear, or chronic eye irritation. The presence of blood vessels (bloodshot eyes) and the color changes you describe could suggest inflammation or irritation of the conjunctiva, which may be exacerbated by environmental factors or underlying health issues.

In terms of treatment options, the first step is to consult with an ophthalmologist for a thorough examination. They will assess the severity of your symptoms and determine the best course of action. Here are some potential treatment options that may be recommended:
1. Artificial Tears: If your symptoms are related to dryness or irritation, using preservative-free artificial tears can help lubricate the eyes and reduce discomfort.

2. Cold Compresses: Applying a cold compress to your eyes can help reduce inflammation and soothe irritation.

3. Topical Medications: Depending on the underlying cause, your doctor may prescribe anti-inflammatory eye drops or antihistamines if allergies are contributing to your symptoms.

4. Surgical Options: In cases of significant conjunctival laxity, surgical intervention may be necessary. This could involve tightening the conjunctiva to alleviate symptoms and improve comfort.

5. Lifestyle Modifications: If you wear contact lenses, consider reducing the duration of wear or switching to a different type of lens that may be more comfortable. Additionally, ensure that you maintain proper hygiene and care for your lenses to prevent irritation.

6. Regular Monitoring: If your symptoms are mild and manageable, your doctor may recommend regular monitoring to ensure that the condition does not worsen.

It is essential to address these symptoms promptly, as they can lead to more significant issues if left untreated. Conditions like conjunctival laxity can cause discomfort and may affect your vision if they lead to other complications, such as corneal exposure or irritation.
In summary, the symptoms you are experiencing could be related to conjunctival laxity or other inflammatory conditions. A comprehensive evaluation by an eye care professional is crucial for accurate diagnosis and appropriate treatment. By addressing these issues early, you can help maintain your eye health and comfort.

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