Prominent eyes may be a family trait. But prominent eyes are not the same as bulging eyes. Bulging eyes should be checked by a doctor right away.
Bulging of one eye, especially in a child, is a very serious sign. It should be checked immediately.
Hyperthyroidism (particularly Graves disease) is the most common cause of bulging eyes. With this condition, the eyes do not blink often and seem to have a staring quality.
Normally, there should be no visible white between the top of the iris (the colored part of the eye) and the upper eyelid. Seeing white in this area usually is a sign that the eye is bulging.
Because eye changes develop slowly, family members may not notice it until the condition is relatively advanced. Photos often draw attention to the bulging when it may have gone unnoticed before.
Treatments depend on the cause. Artificial tears may be given to lubricate the eye.
References
Clemmons DR. Approach to the patient with endocrine disease. In: Goldman L, Schafer AI, eds. Goldman’s Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 228.
Yanoff M, Cameron D. Diseases of the visual system. In: Goldman L, Schafer AI, eds. Goldman’s Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 431.
Review Date:
1/22/2013
Reviewed By:
Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.
