The color of the sclera and some eye care issues?
Hello, doctor.
I have a question I'd like to ask you.
Recently, I've noticed a thin, faint blue (indigo?) ring at the junction of my cornea and sclera.
Is this normal? I can only see it clearly under a desk lamp; I hadn't noticed it before.
Occasionally (mostly on weekends), I wear "colored" daily disposable contact lenses.
Could this be related? For instance, could wearing contact lenses cause my eyes to become hypoxic, leading to this appearance? However, I never wear them for more than five hours.
I would appreciate your clarification on this, thank you.
Additionally, I would like to ask if wearing blue light-blocking glasses while using electronic devices can help prevent cataracts.
It seems there is a possibility that prolonged screen time could lead to cataracts.
I usually wear sunglasses when going outside, which should help, right? I think I read a report about someone developing cataracts from not wearing sunglasses while fishing, so I wanted to ask if it's better to wear blue light-blocking glasses when looking at a computer screen or phone indoors.
Lastly, I would like to inquire about eye care: is it better to take lutein or blueberries for eye health? Or can I take both? Since I spend a lot of time using the computer, I thought I would ask.
Thank you! :)
Zhi Li, 30~39 year old female. Ask Date: 2022/08/16
Dr. Gao Pilin reply Ophthalmology
Hello, Zhili: The area where the cornea meets the sclera has a thin, faint blue ring, which is a type of lipid, usually cholesterol.
If observed in individuals under 40, it is often associated with hyperlipidemia, particularly familial hypercholesterolemia.
However, this is a natural change and is not harmful to the eyes; many people experience this phenomenon as they age.
Blue light is relatively unrelated to cataracts.
There is no need to wear blue light blocking glasses indoors.
For reference, please see: https://bit.ly/3C5Erb3.
As for scientifically proven benefits for eye health, lutein is beneficial.
There is currently no evidence supporting the effectiveness of anthocyanins from blueberries.
Reply Date: 2022/08/16
More Info
Hello! Thank you for your questions regarding eye health, particularly concerning the blue ring around the iris, the use of blue light-blocking glasses, and dietary supplements for eye care.
Firstly, the blue ring you mentioned at the junction of the sclera (the white part of the eye) and the cornea (the clear front part of the eye) is often referred to as a "limbal ring." This can sometimes appear as a thin blue or grayish ring and is typically associated with the presence of lipids or cholesterol deposits. In younger individuals, particularly those under 40, it may indicate a condition related to high cholesterol levels, but it can also be a normal anatomical variation. If this change is new and you have not experienced any discomfort or vision changes, it is likely benign. However, if you have concerns, especially given your use of colored contact lenses, it would be wise to consult an eye care professional for a thorough examination.
Regarding your use of colored contact lenses, while they can sometimes lead to issues like dryness or irritation if worn for extended periods, wearing them for less than five hours typically should not cause significant problems. However, it is essential to ensure that the lenses are well-fitted and that you follow proper hygiene practices to avoid complications such as hypoxia (lack of oxygen to the cornea).
As for blue light-blocking glasses, current research does not conclusively support the idea that blue light exposure from screens directly causes cataracts. While prolonged screen time can lead to digital eye strain, the relationship between blue light and cataract formation remains unclear. Wearing sunglasses with UV protection outdoors is indeed beneficial for preventing cataracts, as UV exposure is a known risk factor. If you find that blue light-blocking glasses help reduce eye strain while using digital devices, they can be a useful tool, but they are not a guaranteed preventive measure against cataracts.
In terms of dietary supplements, lutein is well-supported by research for its role in eye health, particularly in protecting against age-related macular degeneration (AMD). Blueberries, while rich in antioxidants, do not have the same level of evidence supporting their direct benefits for eye health. However, both can be part of a balanced diet that supports overall health. If you spend long hours in front of a computer, incorporating lutein-rich foods (like leafy greens) or supplements may be beneficial.
In summary, the blue ring around your iris is likely a benign finding, but if you have concerns, a visit to an eye care professional is advisable. Blue light-blocking glasses can help with digital eye strain, but their role in preventing cataracts is not firmly established. Lastly, focusing on a diet rich in lutein and antioxidants can support your eye health as you navigate your screen time. Always remember to take regular breaks from screens, practice good eye hygiene, and protect your eyes from UV exposure when outdoors.
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