Eye Whites: Blood Vessels and Jaundice Explained

Issues with the sclera?

Hello, doctor.
I would like to ask if it is normal for my sclera to have blood vessels and a slight yellow tint.
Also, what does jaundice look like? Is it a very intense yellow, or can a faint yellow also indicate jaundice? Additionally, I checked my sclera with a mirror and flashlight and noticed a slight accumulation of yellow with blood vessels, but when I took a photo with my phone in regular mode, the sclera did not appear yellow.
Doctor, should I trust the results from the mirror or the photos taken with my phone?

mm, 20~29 year old female. Ask Date: 2020/08/24

Dr. Gao Pilin reply Ophthalmology

Hello, the yellow in jaundice refers to the yellowing of the sclera, not the conjunctiva.
The location is different.
Moreover, the entire sclera is yellow, not just a localized area, and it appears quite yellow.
Please refer to: https://bit.ly/2Qlyv4x.
Based on your description, it seems to be just pigmentation on the conjunctiva, which is not a cause for concern.
If it cannot be captured in imaging, it is likely not jaundice.

Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, and Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Online responses can only serve as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
I hope to have the opportunity to serve you.
Gao Pilin

Reply Date: 2020/08/24

More Info

When it comes to the appearance of the whites of your eyes, also known as the sclera, there are several factors to consider, particularly when you notice blood vessels and a yellowish tint. The presence of blood vessels, or "bloodshot" eyes, can be a common occurrence due to various reasons, including eye strain, allergies, or irritation. In your case, the combination of blood vessels and a yellowish tint raises some important points to discuss.

Firstly, the yellowing of the sclera can be indicative of jaundice, which is a condition characterized by an excess of bilirubin in the bloodstream. Bilirubin is a yellow pigment that is produced during the breakdown of red blood cells. When the liver is unable to process bilirubin effectively, it can lead to a buildup in the body, resulting in a yellowing of the skin and the whites of the eyes. The yellow associated with jaundice is typically more pronounced than a subtle yellow tint; it tends to be a deeper, more noticeable yellow. If you observe a significant change in the color of your sclera, it is advisable to consult a healthcare professional for further evaluation.

Regarding the blood vessels in your eyes, they can become more prominent due to several factors, including prolonged screen time, lack of sleep, allergies, or environmental irritants. If you are frequently using your phone or computer, this could lead to eye strain, which may cause the blood vessels to dilate, resulting in a red or bloodshot appearance. It is essential to take regular breaks from screens and practice the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.

As for your question about whether to trust the reflection in the mirror or the photos taken with your phone, it is important to note that lighting conditions and camera settings can significantly affect how colors appear in photographs. The mirror provides a direct view of your eye under the current lighting conditions, while a camera may not capture the subtle nuances of color accurately. If you notice a consistent yellow tint in the mirror but not in photos, it may be more reliable to trust your observation in the mirror, especially if the lighting is similar.

In summary, while some blood vessels in the sclera can be normal, a persistent yellow tint warrants further investigation. If you notice any significant changes in your eye appearance, such as increased yellowing or discomfort, it is crucial to seek medical advice. Regular eye check-ups can help monitor your eye health, especially if you spend considerable time on screens. Maintaining good eye hygiene, taking breaks, and ensuring proper lighting while working can also help alleviate some of the symptoms you are experiencing. If you have any concerns about jaundice or any other underlying health issues, do not hesitate to consult a healthcare professional for a thorough examination and appropriate guidance.

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