How to Improve Cloudy, Yellowish Sclera

Nov 18, 2021 Source: Cainiu Health

Dr. Cui Xin

Introduction

Cloudy, yellowish sclera (the white part of the eye) is often caused by jaundice, which results from impaired liver function. When liver function is compromised, the metabolism of bilirubin is reduced, leading to elevated serum bilirubin levels that cause yellowing of the sclera. Initially, you should consult a gastroenterologist for comprehensive evaluation, including hepatitis B serology (“two pairs and a half” test), liver function tests, and abdominal ultrasound of the liver. Treatment can then be tailored based on the test results.

Healthy sclera (the “white of the eye”) should appear bright white, without any discoloration. However, some individuals may notice yellowing of the sclera—a symptom that warrants attention, as it can sometimes indicate underlying health issues. So, how can yellowing and cloudiness of the sclera be improved? Below, we address this question.

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How to Improve Yellowing and Cloudiness of the Sclera

Yellowing and cloudiness of the sclera are commonly caused by jaundice, which itself results from impaired liver function. When liver function is compromised, the body’s ability to metabolize bilirubin decreases, leading to elevated levels of bilirubin in the blood—causing the sclera to appear yellow. This condition may stem from chronic hepatitis or alcohol-induced hepatitis due to long-term heavy alcohol consumption. Initial evaluation should include consultation with a gastroenterologist or hepatologist for comprehensive testing—including hepatitis B serology (“two pairs and a half”), liver function tests, and abdominal ultrasound. Treatment should then be tailored according to the diagnostic findings. Additionally, prolonged work or study without adequate rest can cause ocular fatigue and conjunctival hyperemia (blood vessel dilation). If the eyes fail to fully recover during rest, fat deposition in the conjunctiva may give the appearance of yellowing.

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Knowledge Extension: Daily Eye Care Tips

1. Take Regular Breaks

Allowing your eyes periodic rest is an effective way to prevent eye strain. When working at a computer, avoid continuous screen viewing for more than one hour. After each hour, take a short break—gaze into the distance for several minutes or perform eye exercises—to relax the ciliary muscle effectively.

2. Consume Eye-Protective Foods

Incorporate fresh vegetables and fruits rich in vitamins A, B, and C into your daily diet—for example, green peppers, tomatoes, grapefruit, carrots, and blueberries. These foods provide essential nutrients that support retinal metabolism and help protect vision. Individuals who use their eyes intensively (e.g., students, office workers) are especially encouraged to consume these eye-healthy foods regularly.

The above outlines strategies for improving yellowing and cloudiness of the sclera. We hope this information proves helpful to you.

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Is yellowing of the sclera a sign of particularly severe liver disease?

Under normal circumstances, whether yellowing of the sclera indicates a particularly serious liver disease depends on the specific situation—it may or may not be the case. Specifically, if the yellowing is caused by conditions such as cirrhosis or liver cancer, then it could be serious. Liver cancer is a severe malignant liver disease, and patients require timely treatment through surgery, chemotherapy, radiation therapy, or other methods.