Thursday, March 4, 2010

blue sclera

Question
Hello doctor, I read someone else's question, but don't think the answer applies to me.  I am 22 years old, female and the last eye test I had 2 years ago said I had perfect vision.  A few days ago a friend said she thought my eyes (sclera) were turning blue.  I took a look and they are quite blue all the way around.  I read this could be a sign of anemia, however I tested negative for anemia four months ago and from my diet it is unlikely I am anemic.  I don't suffer from fractures, i do appear to bruise easily on my lower legs, and suffer from migraine.  I don't really know what is relevant or what could be the cause of the blueness, I have booked an eye exam for two days time however, which will refer me to the hospital to check my scleral thickness.

I have been put on propranolol for my migraines, so I don't know if that would have an effect? I am not aware of any osteogenesis imperfecta in my family, I think my grandfather had osteoporosis.



Please put my mind at ease, I really don't know what it could be.



Thank you, Sameera.




Answer
Dear Sameera,



Blue sclera could be heriditary and may not have been noticed by you earlier.



only a doctor can diagnose if this 'bluish ' colour is actually a discoloration which has happened as a result of some external or internal factor.



A good cornea specialist would be a helpful opinion.



Hope this helps,

Best,

Dr Shroff