What causes a blue appearance of the white part of the eye?

Jun 07, 2024 Source: Cainiu Health
Disease description:

Today, when I looked in the mirror, I noticed that the whites of my eyes appeared slightly blue. What could be causing a bluish tint in the whites of the eyes?

Doctor's answer (1)
Dr. Wang Shuai
Possible causes of blue-tinged whites of the eyes include the following: 1. Genetic factors: Some individuals may inherit a tendency for blue-tinged sclera, which is commonly seen in certain ethnic groups or families. 2. Age-related factors: In infants and young children, the eyeball is not yet fully developed and the sclera is thinner, allowing the underlying choroid layer's color to show through, resulting in a bluish appearance. This typically resolves naturally with age. 3. Nutritional factors: Iron deficiency anemia may lead to blue-tinged whites of the eyes. Insufficient iron impairs collagen synthesis in the sclera, causing it to thin and making the choroidal color more visible. 4. Disease-related factors: Certain medical conditions such as hyperbilirubinemia and glaucoma may also cause abnormal discoloration of the sclera, including a blue tint. If blue discoloration of the whites of the eyes occurs, it is recommended to seek timely medical evaluation to determine the underlying cause and receive appropriate treatment.