Observation of health and disease from eye changes

2022-12-30

The writer said that "the eyes are the windows of the mind", while the doctor said that "the eyes are a mirror of the health of the body". The eyes can not only show a person's psychological and spiritual world, but also reflect people's health and identify people's diseases. This shows how important it is to pay attention to eye health.


The traditional Chinese medicine believes that "the eyes are the liver orifices and the external signs of the mind". If the eyes are bright and flexible, it is a sign of physical and mental health, normal functions of the viscera, and a good prognosis; if the pupils are dull and dull, it is a sign of loss of mind, a sign of weakness, serious symptoms, and poor prognosis.


Conjunctival congestion: It is commonly seen in patients with influenza, and patients often cause conjunctivitis, conjunctival congestion, and secretion. At the same time, keratitis, iris conjunctivitis and dacryocystitis often occur. If the conjunctiva is red and there are follicles in the eyelid conjunctiva, it is more common in trachoma (pale eyelid conjunctiva can be seen in anemia).


In addition, after drinking and swimming with cold water, the eyes often become congested and red.


Yellowing of the sclera. Yellowing of the sclera (white eye) is an important symptom of many hepatobiliary and pancreatic diseases, such as acute icteric hepatitis, toxic hepatitis, cirrhosis, liver cancer, cholelithiasis, and pancreatic head cancer. In addition, yellow sclera is also common in diseases such as broad bean disease (hemolytic anemia) and congestive heart failure.


Eyelid edema eyelid edema and bulbar conjunctival edema are common symptoms of nephritis patients, especially when getting up in the morning eyelid edema is most obvious. For more serious chronic nephritis, vision has decreased to varying degrees, and cotton wadding exudate, retinal hemorrhage, arterial spasm, etc. can also be seen in the fundus. Chronic liver disease, malnutrition, anemia, angioneurotic edema can also cause eye edema.


Blepharoptosis bilateral ptosis is more common in myasthenia gravis, unilateral blepharoptosis is seen in oculomotor nerve paralysis.


Exophthalmos, the most common and typical symptom of hyperthyroidism, is usually bilateral, often accompanied by bulbar conjunctival edema and congestion, and may be incomplete in severe cases. When the eyes look down, the upper eyelids cannot droop with them, which will expose the upper white eyeball (sclera). If one eye is not completely closed, it is mostly caused by facial nerve paralysis (mouth eye deflection).


Blurred vision hypertension and arteriosclerosis are the most common diseases that cause blurred vision. with the progress of the disease, it can show a gradual decline in binocular vision or sudden blindness. When checking the fundus of the eye, the microvessels may become thinner, twisted, exudate, or even rupture and bleed (the bleeding is flaky, and the eyes feel swollen and painful). As Xuele gets under control and the bed drops, the bleeding and exudation of fundus will be improved, but the late vision recovery will be poor.


The most common causes of large subconjunctival hemorrhage are hypertension, arteriosclerosis, thrombocytopenia and blood diseases with abnormal coagulation function.


If you suffer from severe diabetes, you suddenly can't see clearly, and there is a sense of shadow floating in front of you. It is likely that diabetes causes fundus hemorrhage and vitreous hemorrhage, which is a common disease leading to complete blindness.


The eyeball depression is often caused by severe dehydration of the whole body (severe water shortage in the body, mostly caused by high fever, diarrhea, etc.) or cervical sympathetic ganglion paralysis.


Pupil deformation and pupillary shrinkage are common in iris inflammation, poisoning (organophosphorus poisoning, etc.), drug reactions (such as morphine), etc; Pupils dilated, mostly due to the effects of atropine drugs, trauma, optic atrophy and near death; The pupils on both sides are different in size, which are common in brain tumors, brain hernia, brain trauma, etc. If the response to light is slow or disappears, it may be that the midbrain function is damaged. The pupil of Chinese people is black. If it is milky white, it is often seen in cataracts. If it is grayish yellow, it is seen in suppurative inflammation in the ball.