Visible Blood Vessels and Yellow Spots on the Eye: When to Seek Help? - Ophthalmology

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There are noticeable blood vessels and yellow spots on the sclera?


Hello Doctor: I have noticeable blood vessels in the sclera of my right eye, and there are also prominent yellow spots beneath the blood vessels.
This condition has been present since I was 22 years old, and I am now 32.
Should I go to the hospital for further examination?

Ian, 30~39 year old female. Ask Date: 2023/08/27

Dr. Gao Pilin reply Ophthalmology


Hello: Based on the information you provided, it appears to be a conjunctival pigmented nevus.
If this nevus has not changed over the past ten years and has not caused any discomfort or pain, it typically may not require immediate further examination.
However, it is still recommended that you visit an ophthalmologist for a diagnosis to confirm whether it is a conjunctival pigmented nevus; if so, you can be reassured.

Reply Date: 2023/08/27

More Info


When it comes to visible blood vessels and yellow spots on the eye, it's important to understand the underlying causes and when to seek medical attention. The presence of blood vessels and yellow spots in the sclera (the white part of the eye) can be indicative of various conditions, some benign and others that may require further investigation.


Understanding the Symptoms
1. Visible Blood Vessels: The appearance of blood vessels in the sclera can be due to several reasons. Common causes include:
- Allergic Reactions: Allergies can cause the eyes to become red and blood vessels to become more prominent.

- Conjunctival Hemorrhage: This occurs when a small blood vessel breaks, leading to a bright red patch on the sclera. It is usually harmless and resolves on its own.

- Chronic Eye Strain: Prolonged use of screens or reading can lead to eye strain, resulting in visible blood vessels.

2. Yellow Spots: The yellow spots you describe could be related to:
- Pinguecula: A common, benign growth on the conjunctiva that can appear as a yellowish spot. It is often caused by UV exposure, dry eyes, or irritation.

- Pterygium: A growth of fleshy tissue that can extend onto the cornea, often associated with sun exposure.

- Jaundice: If the yellowing is more pronounced and affects the entire sclera, it could indicate jaundice, which is a sign of liver dysfunction.


When to Seek Help
Given that you have had these symptoms since the age of 22 and they have persisted into your 30s, it is advisable to consult an eye care professional. Here are some specific indicators that warrant a visit to the doctor:
- Changes in Vision: If you experience any changes in your vision, such as blurriness, distortion, or loss of vision, it is crucial to seek immediate medical attention.

- Increased Redness or Discomfort: If the redness worsens or if you experience discomfort, pain, or sensitivity to light, these could be signs of a more serious condition.

- New Symptoms: If you notice any new symptoms, such as swelling, discharge, or significant changes in the appearance of your eyes, it is important to get evaluated.


Recommended Actions
1. Schedule an Eye Exam: An eye care professional can perform a thorough examination, including visual acuity tests, slit lamp examination, and possibly imaging studies to assess the health of your eyes.

2. Monitor Symptoms: Keep track of any changes in your symptoms, including the size or color of the yellow spots and the extent of the visible blood vessels.

3. Protect Your Eyes: If you spend a lot of time outdoors, consider wearing UV-protective sunglasses to prevent further irritation or growths on the eye.


Conclusion
While visible blood vessels and yellow spots on the eye can often be benign, it is essential to have them evaluated by a healthcare professional, especially given the duration of your symptoms. Early detection and treatment can prevent potential complications and ensure the health of your eyes. If you have any concerns or if your symptoms change, do not hesitate to seek medical advice. Your eye health is important, and proactive management can lead to better outcomes.

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