Don't ignore these 6 eye symptoms that signal high cholesterol

High cholesterol is often called a ‘silent’ condition because it usually develops without obvious symptoms, yet it can have serious consequences for heart and vascular health. While blood tests are the standard method for detecting elevated lipid levels, certain visible signs around the eyes can provide early clues. From small yellowish bumps known as xanthelasma to faint white rings called corneal arcus, changes in the eyelids and surrounding skin may indicate underlying cholesterol imbalances. Puffy eyelids, dark circles, vein prominence, skin tags, and subtle alterations in eyelid texture can also serve as external markers of elevated cholesterol. Recognising these signs early allows individuals to seek medical evaluation, make lifestyle adjustments, and take preventive measures, reducing the risk of heart disease and other complications before they become severe.



Early signs of high cholesterol are visible around your eyes



Xanthelasma: Yellowish bumps on the eyelids



One of the most recognisable signs of high cholesterol is xanthelasma, which appears as small yellowish bumps near the inner corners of the eyelids. A study published in the Journal of the American Academy of Dermatology found that xanthelasma palpebrarum (XP), a condition where yellowish cholesterol deposits appear on the eyelids, is associated with altered lipid metabolism, including low levels of high-density lipoprotein (HDL) cholesterol. This suggests that even in the presence of normal total cholesterol levels, the formation of XP may indicate underlying lipid imbalances. While they are usually painless and do not cause discomfort, their presence is a visual warning of elevated blood lipid levels. Early detection allows for timely monitoring and management, including lifestyle changes or medications, to reduce cardiovascular complications before they become serious.

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Corneal arcus: White rings around the iris



Corneal arcus is a condition where a faint white or grey ring appears around the iris, the coloured part of the eye. This occurs due to cholesterol deposits forming in the cornea. While it can be a natural part of aging in older adults, in younger people, it often signals abnormally high cholesterol levels. The presence of corneal arcus is particularly important because it reflects lipid build-up that may also be occurring in blood vessels, increasing the risk of atherosclerosis and other heart-related issues. Regular eye and blood tests can help confirm the underlying cause and guide treatment.



Puffy or swollen eyelids



Persistent puffiness or swelling in the eyelids can be another subtle sign of high cholesterol. Elevated cholesterol can contribute to fluid retention and affect circulation, causing the eyelids to appear swollen. While temporary puffiness is often caused by sleep patterns, allergies, or salt intake, consistent swelling that doesn’t resolve may indicate an underlying metabolic or cardiovascular issue. Observing changes in eyelid contour, especially when combined with other symptoms, should prompt a medical evaluation to rule out lipid imbalances or related conditions.



Dark circles and vein prominence



In some cases, people with high cholesterol may notice dark circles or more prominent veins under the eyes. While factors like lack of sleep, aging, and genetics play a role, chronic vascular stress from high cholesterol can worsen the appearance of these circles and veins. Excess lipids can affect blood vessel elasticity, slowing circulation and causing blood to pool, which can increase the visibility of veins and create shadowed areas under the eyes. Recognising this pattern alongside other signs can prompt further investigation.



Skin tags or small growths near the eyelids



Skin tags or tiny growths along the eyelid margins can also indicate lipid imbalances. These small, soft protrusions are not harmful but may reflect excess cholesterol circulating in the bloodstream. Like xanthelasmas, they act as external markers of potential internal health issues. Noticing these growths early allows for evaluation and preventive measures to manage cholesterol levels before more serious complications arise.



Changes in eyelid texture



High cholesterol can sometimes lead to subtle changes in eyelid texture, making the skin slightly thicker or firmer. These textural alterations often precede the development of visible xanthelasmas. Paying attention to small changes in skin texture, combined with other visible signs, can help identify elevated cholesterol early. Early detection provides an opportunity for lifestyle modifications and, if necessary, medical intervention to prevent long-term cardiovascular risks.


Disclaimer: This article is for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider regarding any medical condition or lifestyle change.



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