Eye Whites: Causes and Solutions for Grayish Extensions - Ophthalmology

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Issues with the sclera?


The grayish extension of the sclera (the white part of the eye) on both sides of the nose may indicate a condition known as pinguecula or pterygium, which are growths on the conjunctiva.
These can be caused by prolonged exposure to UV light, dust, or wind, and are not typically related to fatigue.
Adequate rest may help alleviate eye strain, but it is unlikely to resolve these growths.
It is advisable to consult an eye care professional for a proper diagnosis and treatment options.

evelyn, 20~29 year old female. Ask Date: 2021/07/29

Dr. Gao Pilin reply Ophthalmology


Hello Evelyn: It may be a proliferation of the conjunctival tissue, which is likely unrelated to fatigue.
It is advisable to get it checked.
Information from the internet should only be used as a reference; if necessary, you should seek medical attention at a healthcare facility.
Best regards, Gao Pi-Lin.

Reply Date: 2021/07/29

More Info


The appearance of grayish extensions in the sclera (the white part of the eye) can be concerning, and it’s essential to understand the potential causes and solutions for this condition. The grayish discoloration you are observing around the nasal corners of your eyes could be attributed to several factors, including fatigue, environmental irritants, or underlying health issues.

1. Fatigue and Eye Strain: One of the most common reasons for changes in the appearance of the sclera is eye fatigue. Prolonged screen time, reading, or any activity that requires intense focus can lead to eye strain. This strain can cause the blood vessels in the eyes to dilate, leading to a more pronounced appearance of the sclera, which may appear grayish or discolored. Ensuring you take regular breaks, practicing the 20-20-20 rule (every 20 minutes, look at something 20 feet away for 20 seconds), and getting adequate sleep can help alleviate these symptoms.

2. Environmental Factors: Exposure to pollutants, allergens, and irritants can also affect the eyes. Dust, smoke, and chemicals can lead to irritation and inflammation, which may cause the sclera to take on a grayish hue. If you suspect that environmental factors are contributing to your symptoms, consider using protective eyewear when outdoors and maintaining a clean indoor environment.

3. Health Conditions: Certain health conditions can lead to changes in the color of the sclera. For instance, conditions like jaundice (which causes a yellowing of the skin and eyes due to liver issues) or pinguecula (a yellowish growth on the conjunctiva) can alter the appearance of the sclera. If the grayish extensions are persistent or accompanied by other symptoms such as pain, redness, or vision changes, it is crucial to consult an eye care professional for a thorough examination.

4. Age-Related Changes: As we age, the sclera can undergo changes, including the development of grayish or yellowish deposits. This is often benign and related to the natural aging process. However, if you notice sudden changes, it’s advisable to seek medical advice.

5. Dry Eye Syndrome: Chronic dry eyes can lead to irritation and inflammation, which may cause the sclera to appear discolored. If you experience symptoms such as a gritty sensation, redness, or excessive tearing, it may be beneficial to use artificial tears or consult with an eye care provider for appropriate treatment.

In terms of solutions, if the grayish extensions are indeed due to fatigue or environmental factors, ensuring proper rest and hydration can significantly improve the condition. Regular eye check-ups are essential, especially if you wear contact lenses or have a history of eye issues. If the discoloration persists despite these measures, or if you experience additional symptoms, it is crucial to seek professional evaluation to rule out any underlying conditions.

In conclusion, while grayish extensions in the sclera can often be attributed to fatigue or environmental factors, it is essential to monitor the situation closely. Adequate rest, proper eye care, and regular consultations with an eye care professional can help maintain eye health and address any concerns effectively. If you have any further questions or if your symptoms worsen, do not hesitate to reach out to a healthcare provider for personalized advice and treatment options.

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