M NEXUS INSIGHT
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What causes blue sclera in infants?

By Sophia Aguilar

What causes blue sclera in infants?

The characteristic blue sclera is caused by thinness and transparency of the collagen fibers of the sclera that allow visualization of the underlying uvea. The sclera may be thinned in congenital diseases such as osteogenesis imperfecta (OI) or in acquired diseases such as iron deficiency anemia.

When does Blue sclera go away in infants?

At birth your baby’s eyes may appear gray or blue due to a lack of pigment. Once exposed to light, the eye color will most likely start to change to blue, green, hazel, or brown over a period of six months to one year.

What does blue sclera indicate?

Bluish sclera is associated with osteogenesis imperfecta, Marfan’s syndrome, Ehlers Danlos syndrome, Blue sclera syndrome (Van der Heave syndrome), incontinentia pigmenti, and many other inherited conditions. [1] The sclera is involved bilaterally in all these conditions and the unilateral appearance is a rarity.

How do I know if my baby has osteogenesis imperfecta?

Symptoms of OI include:

  1. Easily broken bones.
  2. Bone deformities, such as bowing of the legs.
  3. Discoloration of the white of the eye (sclera), may be blue, purple, or gray in color.
  4. A barrel-shaped chest.
  5. A curved spine.
  6. Short stature.
  7. A triangle-shaped face.
  8. Loose joints.

Is blue sclera serious?

Blue sclera in childhood could represent a genetic disease such as osteogenesis imperfecta, but the presence of blue sclera in adult patients should alert physicians about the possibility of the presence of severe iron deficiency and guide management early on.

Is blue sclera bad?

About 25% of children with Brittle Bone Disease can blame spontaneous mutations for their disorders. It is important again to stress that anyone with blue sclera should see a doctor to rule out these rare diseases. Again, most cases of blue sclera are relatively harmless.

Can blue sclera disappear?

Blue sclerae, especially at infancy, is the most visible ocular sign in osteogenesis imperfecta but it is not always present. It is also often present in normal infants. In some patients, it is present early but disappears later in life.

What conditions can cause blue sclera?

Blue sclerae are characteristic of a number of conditions, particularly connective tissue disorders. These include osteogenesis imperfecta, Marfan’s syndrome, Ehlers-Danlos syndrome, pseudoxanthoma elasticum, and Willems De Vries syndrome, among others.

Can blue sclera be normal?

It is important again to stress that anyone with blue sclera should see a doctor to rule out these rare diseases. Again, most cases of blue sclera are relatively harmless.

Can iron deficiency anemia cause blue sclera?

studied adult patients with anemia who had proven iron deficiency and found that the presence of blue sclera has a sensitivity of 89%. The presence of blue sclera should alert physicians about the possibility of the presence of severe iron deficiency and guide management early on.

How do you reverse blue light damage?

Every 20 minutes look away from your screen and look at an object 20 feet away for at least 20 seconds. This gives your eyes a chance to take frequent breaks in between and relax. Restrict the use of devices at night. Do not use blue-light emitting electronic devices at least 2 hours before bedtime.