Pupil, white spots

Considerations:
The normal appearance of the pupil of the human eye is black. In flash photographs the pupil may appear red. This is known to photographers as redeye and to physicians as the red reflex and is entirely normal.

On occasion, the pupil of the eye may appear white. This is never a normal condition and requires immediate evaluation by trained specialists (ophthalmology).

On occasion, a cloudy cornea may produce an appearance similar to a white pupil. The causes of a cloudy or white cornea are different than those of a white pupil but are also significant and require immediate attention. Cataracts can also cause the pupil to appear white.

Common Causes:

Note: There may be other causes of white spots in the pupils. This list is not all inclusive, and the causes are not presented in order of likelihood. The causes of this symptom can include unlikely diseases and medications. Furthermore, the causes may vary based on age and gender of the affected person, as well as on the specific characteristics of the symptom such as quality, time course, aggravating factors, relieving factors, and associated complaints. Use the Symptom Analysis option to explore the possible explanations for white spots in the pupils, occurring alone or in combination with other problems.

Home Care:
If a white pupil is noted, an immediate appointment with your health care provider should be made.

It is often appropriate to see an ophthalmologist for eye conditions. Ask your health care provider if you need a referral.

Call Your Healthcare Provider If:

  • you note any discoloration of the pupil or cornea of the eye.



What to Expect:
The medical history will be obtained and a physical examination performed.

Medical history questions documenting white spots in the pupil may include:

  • When did you first notice this?
  • Are both eyes affected?
  • Is there any change in the vision, including a decrease in vision, blurred vision , or others?
  • What other symptoms are also present?

The physical examination will include a detailed eye examination.

Diagnostic tests may include:

After seeing your health care provider:
If a diagnosis was made by your health care provider as the cause of white spots in the pupils, you may want to note that diagnosis in your personal medical record.


This is an illustration of a cross-section and frontal view of the eye.