Coastal Corner: 6 Eye Issues You Shouldn’t Ignore
Most people think of eye exams as just a way to update their glasses prescription—but your eyes can tell a much bigger story. As eye doctors, we often spot signs of health issues long before other symptoms show up. From heart health to thyroid function, your eyes can provide valuable clues about what’s happening inside your body. In this post, we’ll cover seven eye changes that could point to underlying health conditions. Grab a mirror and let’s take a closer look.
- Xanthelasma – Fatty Bumps on the Eyelids
Those soft, yellowish bumps that appear around the eyes are known as xanthelasma. While harmless, these fatty deposits may be an early warning of high cholesterol. They can appear even if your cholesterol levels seem normal, but they’re much more likely in people with lipid issues. A lipid panel can confirm if cholesterol is to blame. If the appearance bothers you, surgical removal is an option—but managing cholesterol levels is crucial to preventing recurrence.
- Red Eyes – More Than Just Fatigue
Red eyes can result from more than just lack of sleep. Persistent redness might indicate subconjunctival hemorrhages (small blood vessel breaks), allergies, infections, or dry eye syndrome. If your red eyes linger or frequently return, an eye exam can help uncover the cause and guide appropriate treatment.
- Strabismus – Misaligned or Crossed Eyes
Strabismus—when the eyes don’t align properly—can be more than just a cosmetic issue. It might indicate 
nerve damage, muscle problems, or even a neurological condition. In children, untreated strabismus can lead to lazy eye (amblyopia), but in adults, sudden misalignment can be a sign of stroke or other serious issues. If you notice one or both eyes drifting or crossing, it’s important to get it checked.
- Jaundice – Yellowing in the Whites of the Eyes
Yellowing in the whites of your eyes, known as scleral icterus, often signals jaundice. This can happen when there’s a buildup of bilirubin, a substance produced when red blood cells break down. Liver conditions—like hepatitis or cirrhosis—are common culprits. If you notice your eyes turning yellow, it’s important to see your doctor right away to check for liver problems.
- Thyroid Eye Disease – Bulging or Red Eyes
Thyroid eye disease can cause noticeable eye changes such as bulging, redness, or eyelid retraction. This condition is often linked to thyroid dysfunction, particularly autoimmune thyroid disorders. Inflammation around the eyes is a common sign. If you notice your eyes looking more prominent or irritated, consider having your thyroid levels tested.
- Leukocoria – A White Reflex in the Eye
If you see a white reflection in the pupil—especially in photos—it could be leukocoria. This white reflex can sometimes indicate serious conditions, such as congenital cataracts or retinoblastoma, a rare childhood eye cancer. If you or your child notices this, it’s important to consult an eye specialist immediately.
When to Schedule an Eye Exam
Your eyes are a powerful indicator of overall health. If you notice any of these signs, don’t wait to get checked. Catching these issues early can help prevent more serious problems later.
Best,
Dr. Beach