How to Treat Yellowing of the Whites of the Eyes

Yellowing of the sclera (commonly referred to as the “white of the eye”) typically indicates underlying liver or biliary tract disease. It is most commonly observed in cases of jaundice-associated hepatitis or cholestatic hepatitis.

How is yellowing of the sclera treated?

If the yellowing results from cholecystitis, anti-inflammatory and choleretic medications—such as chenodeoxycholic acid tablets, ursodeoxycholic acid tablets, or Xiaoyan Lidan tablets—may be prescribed.

If it stems from hyperbilirubinemia—often secondary to hepatic disorders such as viral hepatitis or biliary conditions (e.g., gallstones)—excess bilirubin is absorbed into the bloodstream and deposits in the conjunctival tissue, causing yellow discoloration. In such cases, internal medicine management targeting the underlying disease is essential; once the primary condition is resolved, the scleral yellowing typically resolves spontaneously.

In jaundice-related cases presenting with scleral icterus, elevated serum bilirubin levels are confirmed. Treatment may include corticosteroids (e.g., prednisone or prednisolone) or phenobarbital tablets. Phototherapy may also be employed. Conversely, physiological jaundice generally requires no specific intervention and may resolve with supportive measures such as increased sun exposure.

While undergoing treatment for scleral yellowing, patients must promptly adjust their daily diet: alcohol and tobacco use must be strictly avoided. Adequate rest and maintenance of a positive, relaxed mental state are equally important. Foods beneficial for liver health and visual acuity—such as chrysanthemum flowers and goji berries—may be incorporated into the diet as adjunctive support.

The above outlines therapeutic approaches for scleral yellowing. We hope this information proves helpful to you.