How to Make Eyes White
Making your eyes whiter seem to be a universal concern. All patients want their eyes to look sparkling white all the time. A question I get daily is, “How do I make My Eyes Whiter?”
All eyeMDs know that anything with Phenylephrine will blanch the conjunctiva (the clear saran wrap covering of the white wall of the eye=sclera) and some of the scleral (the white part of the eye) blood vessels and make the eye appear whiter if there is no scleritis (inflammation of the sclera).
Phenylephrine is a selective α1-adrenergic receptor agonist of the phenethylamine class used primarily as a decongestant, as an agent to dilate the pupil, constrict blood vessels (in the eye or in the body if taken by mouth), and to increase blood pressure. Frequent use of Phenylephrine can cause rebound redness (the redness comes back with a vengeance in some patients). Too much Pheylephrine by mouth can cause a decrease in heart rate through reflex bradycardia (slow heart rate).
Thus, Pheylephrine, though used in some Visine formulations is not a good drug to keep using in your eye.
More natural options are as follows: 1. Stay hydrated– drinking more 64oz of water per day2. Eat plenty of green leafy veggies like spinach, lettuce, collard greens. Also eat other veggies like carrots, radishes3. Avoid smoking4. Avoid liver or kidney disease which can cause jaundice or yellowing of the eyes.5. Avoid getting Hepatitis or any other inflammatory conditions6. Avoid getting diabetes7. Avoid the sun: wear sunglasses always when outside. Excess sun exposure starting at a young age can cause blood vessels to grow and form a Pinguecula or grow over your cornea and create a Pterygium. Photos are below:PINGUECULA: Growth not on Cornea PTERYGIUM: Growth onto Cornea
8. Use Cold artificial tears may help constrict blood vessels in some patients: Ice covered in a cloth also helps constrict blood vessels to help decrease redness which often can be due to:
a. Allergy: anti-allergy drops may help get rid of redness
b. Dry Eyes: my dry eye regimen may help. https://drcremers.com/2016/10/best-treatment-for-dry-eyes-eye-redness.html
c. Blepharitis: bacteria or mites on eyelashes which irritate eyes.
9. Drops with Pheylephrine will only temporary fix the redness and can cause rebound redness.
10. A patient brought in this:
More rare conditions that may cause jaundice include: