Why is the white part of my eye yellow with red blood vessels?

Apr 27, 2025 Source: Cainiu Health
Disease description:

I am a 42-year-old male. Recently, I noticed my white part of the eye (sclera) has turned yellow, and there are明显的 red blood vessels visible. I also experience dryness in my eyes and occasionally a mild feeling of fatigue. This situation has caused me concern, and I would like to understand what may be causing the yellowing of the sclera accompanied by red blood vessels.

Doctor's answer (1)
Dr. Wang Shuai

Common causes of yellowing of the white part of the eye accompanied by redness include eye fatigue, inflammation, or abnormal liver function. Redness in the eyes is often caused by excessive eye strain, prolonged eye use, lack of sleep, or external irritants. Yellowing of the white part of the eye is usually associated with elevated bilirubin levels, which may indicate liver problems or bile duct obstruction. If there has been excessive alcohol consumption, improper diet, or overuse of the eyes recently, similar symptoms may also appear. In addition, eye infections or allergic reactions can cause redness in the eyes, and the specific cause should be determined by considering other systemic symptoms.

To determine the exact cause, it is recommended to seek prompt medical evaluation at a hospital for comprehensive examinations, especially tests related to liver function and eye health. In daily life, maintain regular作息 (作息 should be replaced with appropriate term like "作息" ->作息=rest and activity patterns), avoid staying up late and overusing your eyes, and reduce intake of high-fat foods and alcohol to protect liver health. If your eyes feel dry or uncomfortable, artificial tears may be used to relieve symptoms, but avoid using eye drops indiscriminately, as this may worsen the condition. If symptoms persist or worsen, seek medical attention promptly. If the symptoms are caused by eye inflammation such as conjunctivitis or keratitis, follow your doctor's instructions for using medications such as chloramphenicol eye drops, ganciclovir eye drops, or ofloxacin eye drops to alleviate symptoms.