Black Spots and Blood Vessels in the Whites of Your Eyes - Ophthalmology

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Issues with the sclera?


Hello Doctor, I previously went to an ophthalmologist for a check-up on my floaters and noticed a small dark spot or blood vessel on the white part of my eye.
The doctor said it was nothing to worry about, but that I should return for a check-up if the floaters increase significantly or if I experience flashes.
I would like to ask if the dark spot and blood vessels on the white part of my eye are normal.
What could be the cause? I see that some of my family members have similar spots while others have only white sclera with blood vessels.
Could it be due to eye strain? I often use my phone and computer, could that have an impact? Thank you.

H, 20~29 year old female. Ask Date: 2024/04/11

Dr. Gao Pilin reply Ophthalmology


Hello: Your photo shows pigment deposition on the sclera, which may occur when the nerves or blood vessels of the eye surface extend deeper into the eyeball.
This is often manifested as black spots associated with blood vessels or as melanosis, which refers to moles on the conjunctiva.
The doctor has examined it and found no issues; it is likely due to these reasons.
Please monitor it yourself, and if it does not continue to grow larger, you can feel reassured.

Reply Date: 2024/04/11

More Info


When it comes to black spots and blood vessels in the whites of your eyes, it's important to understand that these can often be benign and not a cause for concern. The presence of black spots on the sclera (the white part of the eye) can be attributed to a few different factors. One common reason is the accumulation of pigment, which can occur as a result of age or genetic predisposition. These spots may be related to the distribution of blood vessels or even small deposits of melanin, which is the pigment responsible for color in our skin and eyes.

In your case, the doctor you consulted during your examination for floaters (also known as "muscae volitantes") indicated that the findings were not alarming. This is reassuring, as it suggests that the black spots and visible blood vessels are likely normal anatomical variations rather than indicators of a serious condition. It's also worth noting that the appearance of these features can vary among individuals; some may have more pronounced blood vessels or pigmentation than others, which can be influenced by factors such as genetics, environmental exposure, and overall eye health.

Regarding your concerns about eye strain from excessive use of electronic devices, it is true that prolonged screen time can lead to symptoms of digital eye strain, which may include dryness, discomfort, and redness of the eyes. This can sometimes make blood vessels more prominent, giving the appearance of increased redness or "bloodshot" eyes. To mitigate these effects, it is advisable to follow the 20-20-20 rule: every 20 minutes, take a 20-second break to look at something 20 feet away. This practice helps to reduce eye fatigue and allows your eyes to relax.

As for the blood vessels you mentioned, they can become more visible due to various factors, including fatigue, dehydration, or even physical exertion. If you have been exercising more vigorously, it is possible that the increased blood flow and pressure could lead to temporary changes in the appearance of your eyes. Additionally, lack of sleep can exacerbate these symptoms, as it can lead to increased eye fatigue and dryness.

If you notice that the black spots or blood vessels are changing in size, shape, or color, or if you experience any new symptoms such as vision changes, pain, or persistent redness, it is important to seek further evaluation from an eye care professional. Regular eye examinations are crucial, especially if you have pre-existing conditions like floaters, as they can help monitor any changes in your eye health over time.

In summary, while the presence of black spots and visible blood vessels in the whites of your eyes can be concerning, they are often benign and related to normal anatomical variations or external factors such as eye strain. Maintaining good eye hygiene, taking regular breaks from screens, and ensuring adequate sleep and hydration can help improve your overall eye comfort. If you have ongoing concerns, do not hesitate to consult with an eye care specialist for personalized advice and management.

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