Because high cholesterol frequently accompanies fat accumulation in the liver, xanthelasma palpebra could be a warning of the easily missed, very common, and potentially dangerous condition known as fatty liver disease. These bumps are frequently mistaken for a stye, but xanthelasma palpebra usually consists of multiple, very small bumps. Sometimes referred to as “cholesterol bumps,” xanthelasma palpebra is typically a warning that a person has high cholesterol. Xanthelasma palpebra are tiny yellow bumps on the eyelids. Believed to be a fatty deposit, pinguecula are usually a result of irritation from the elements, such as dust, wind and sun exposure. Although pinguecula usually appear in the corner of the eye near the nose, they can appear anywhere on the sclera. Scleral icterus is different from pinguecula, light-yellow colored bumps on the sclera. While most people associate jaundice with yellowing of the skin, the whites of the eyes are typically the first tissue to be affected by an injured liver that is unable to remove bilirubin from the blood supply. Jaundice is caused by a buildup of bilirubin, the byproduct of old red blood cells the liver can’t process. Yellowing of the eyes, sclera icterus, is frequently a sign of liver damage or liver disease. When the sclerae are yellow, jaundice (icterus) is the most common culprit. Usually white to off-white and opaque, the sclera is the white part of a human eye. The strong correlation between the liver and the eyes is recognized via four different kinds of associations. In another perspective of this well-known adage, various medical traditions demonstrate that observing a person’s eyes also foretells of their liver health. An old English proverb originating from a passage in the Bible states, “the eyes are the window to the soul.” This implies that looking deeply into a person’s eyes reveals who they truly are on the inside.

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