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  • You probably think you know the color of your eyes pretty well.

  • After all, most of us see them staring back at us in the mirror every day.

  • And while our bodies may change, eye color is permanent.

  • Until it's not!

  • There are a shocking number of things that can make your baby blues not so blue anymore, or can make your brown-eyed girl need a new nickname.

  • Here are just a few of them.

  • First, let's start by breaking down how the iris works.

  • Your iris is the gatekeeper to light entering the eye.

  • It contains the muscle to open and close the pupil, so it regulates how much light gets in there.

  • Irises also come in a spectrum of spectacular colors, thanks to their cellular makeup.

  • There are two layers of the iris.

  • Within these layers, there's a whole bunch of very important stuff that all helps you see.

  • But the bits we want to focus on are the ones that have to do with eye color, the melanocytes.

  • Melanocytes are found in both layers of the iris.

  • Two-thirds of all cells in the anterior layer, which is called the iris stroma, are melanocytes.

  • So this layer is doing a lot of heavy lifting and giving your eyes their hue.

  • And melanocytes aren't just in your eyes.

  • They make melanin all throughout your body.

  • This is the same melanin that gives your skin and hair whatever color they've got.

  • Melanin absorbs light, meaning it can't be reflected back to be perceived by us.

  • More melanin in a spot means more light is being absorbed there, and we see it as a darker color.

  • So in brown eyes, there's lots of melanin present and lots of light being absorbed.

  • But lighter-colored eyes have less melanin, which means that the shorter wavelengths of light get reflected back off of collagen fibers.

  • And then, when someone else looks at those melanin-lacking eyes, their eyes pick up on that reflected light, and that's how we see each other's eye color.

  • Melanin also comes in two forms, eumelanin, which is black or dark brown, and pheomelanin, which is light brown, yellow, or red.

  • And different combinations of eumelanin and pheomelanin will affect the color of your eyes, kind of like mixing paint colors.

  • For example, people with green eyes have more of that yellow-red pheomelanin.

  • But not all eye colors are the result of melanin.

  • If you've got albinism, or another condition where you have little to no melanin, it's the blood vessels in the retina reflecting back light that give a pink or reddish hue.

  • There's also a lot that can change in a complicated system like the eyeball.

  • So let us talk about a few ways your eye color can change.

  • [♪ INTRO ♪)]

  • Although babies spend about nine months developing in the womb, when they come into the world all fresh and squishy, they're not done cooking just yet.

  • And it's not just growing bones and developing brains that change over the coming months and years.

  • The eye color can change, too.

  • Many babies have lighter eyes at birth than they will as adults.

  • The idea is that melanocytes in those baby blues are either not finished moving into place or the cells that are there haven't gotten around to specializing as melanocytes yet.

  • Over the first few months of life, the iris is populated with those pigment-making cells and gets darker.

  • For the most part, the eye color will settle by around six years old.

  • But for some, it doesn't end there.

  • A twin study found that 10 to 15 percent of white participants' eyes continue to darken between age six and adulthood.

  • The fact that this happens in twins shows a pretty strong link between age-changing eye color and genetics, so your darkening eyes might even run in the family.

  • But there's a twist.

  • Not only can growing to adulthood cause your eyes to get darker, aging all the way to your golden years can eventually make your eyes lighter.

  • Kind of.

  • Argus sinulus is a buildup of lipids that can form around the iris and give it a light blue or gray ring.

  • A sort of eyeball halo, if you will.

  • This usually happens in elderly people, and the new hue is usually benign.

  • But they can sometimes be a sign of another underlying condition, so it's not a bad idea to get them checked out.

  • There are also plenty of not-so-great eye conditions that can change your eye color.

  • There are a few that can also lead to loss of pigment and lighter eyes.

  • Horner's syndrome is caused by damage or disruption to certain nerves in the head and neck.

  • That comes with a whole bunch of neurological symptoms, but it also causes your eyes to get lighter in color.

  • It's super noticeable in babies, but in adults, it can be harder to notice because it happens so slowly.

  • You might only spot it when you look at a photo from 20 years ago and think, hey, were my eyes, like, way darker back then?

  • Likewise, Fuchs heterochromic iridocyclitis causes inflammation of structures in the front of the eye, including the iris.

  • And eventually, all that inflammation comes with a lightening of the eyes.

  • And are you proud of me for saying Fuchs heterochromic iridocyclitis correctly?

  • Because I am.

  • It's not fully understood what causes this to happen, but studies have found that people with Fuchs have fewer melanocytes and smaller melanin-producing machinery.

  • And finally, we have pigment dispersion syndrome.

  • The name basically just means a loss of pigment, which causes your eyes to get lighter.

  • But it's the mechanism of this particular change where things get really interesting.

  • Some researchers have proposed that pigment loss happens with this condition because the iris is just too big for the eye, which causes it to bow backwards.

  • This backward bowing causes the tiny thread-like fibers that hold the eye's lens in place to come into contact with the iris, which they are not supposed to do.

  • And when that happens, those threads can literally rub the pigment off.

  • It can also cause some other not-great things, like glaucoma.

  • But fortunately, glaucoma treatments can help treat pigment dispersion syndrome, too.

  • Now, instead of pigment gain or loss, the next one is kind of like DIY eye jewelry.

  • Kaiser-Fleischer rings are brown or grayish rings that can form a little ring around the iris.

  • They're caused by deposition of excess copper in the cornea, which lays over the top of the iris.

  • These rings are common in patients with Wilson's disease, a genetic disorder which causes an error in copper metabolism in the body.

  • But they can also be caused by other problems like liver disease.

  • On the plus side, as long as you treat the condition that caused them to appear,

  • Kaiser-Fleischer rings should go away.

  • Another bummer of a disease that can change eye color is cancer.

  • Yes, iris melanomas are a thing.

  • They are not super common, but they do happen.

  • Just like a skin melanoma, iris melanoma is a cancer starting in the melanocytes.

  • And just as on the skin, this can present on the iris as dark brownish spots.

  • They can also cause you to start seeing more floaters, and can change the shape of your pupil.

  • Most iris melanomas will not be visible, but if new dark spots appear on your iris, it's probably time to book an appointment with your doctor.

  • And not only can a cancer cause your eye color to change, treating cancers can cause it too.

  • There's a rare type of eye cancer found in young children called retinoblastoma that is super aggressive.

  • But there is a new treatment for retinoblastoma, which involves injecting chemotherapy drugs into the vitreous humor, which is the jelly-like substance between your lens and retina of the affected eye.

  • This sounds terrible, but, like, we're getting a cancer!

  • And while that treatment seems to work pretty well, there are a couple of case studies that suggest the treatment also resulted in that eye getting lighter, giving those kids permanent heterochromia and a hell of a story to tell.

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  • Now, we've talked about a lot of weird diseases that can change your eye color, but there are some medications that can do this, too.

  • One of the most common is a medication group called prostaglandins, which are used to treat glaucoma.

  • Glaucoma is just a blanket term for a group of conditions that cause increased pressure in your eye and, over time, damage to the optic nerve.

  • And prostaglandins are great at lowering that pressure, so they are great for treating glaucoma.

  • And they are also known for a weird side effectdarkening people's irises.

  • One study found that the glaucoma medication latanoprost caused between 5 to 23% of patients' eyes to get darker after 12 months of treatment.

  • It's probably still a good idea to take these medications either way.

  • Just don't be surprised if you notice a new eye shade in your reflection afterwards.

  • We've talked about dark flecks and white rings on the iris, but how about patchwork eye color?

  • Vitiligo is an autoimmune disorder where your immune system turns on your melanocytes and destroys them.

  • It's usually more apparent when it's happening in the skin, since it causes large patches of skin to become much lighter than they were before.

  • But it can happen to melanocytes in your eyes, too, which can look like patchy blue spots in the iris or more widespread loss of pigment.

  • This specific presentation of vitiligo is often associated with specific eye-related syndromes like Vogt-Koyanagi-Hirata syndrome and Alatangrini's syndrome, but can also happen in the more general full-body vitiligo.

  • Now, this is probably the most temporary eye color-swapping method on the list, but your eye color can look really different depending on your emotional state.

  • Novelists might be taking some artistic liberty when they describe eyes becoming dark and stormy and anger, but there really is something there.

  • Not all eye color changes come down to the iris.

  • The size of the pupil plays a role, too.

  • Your pupil dilates differently when you are processing different emotions.

  • One study found that fear can cause the pupil to dilate more drastically than feelings of happiness or neutrality, which would temporarily make your eyes look a different color, as less of your iris is visible.

  • And of course, this isn't really an eye color change, but it is the illusion of one.

  • Another illusory eye color change can come from trauma to the brain or eye.

  • A nasty knock on the head can cause your pupil to get permanently stuck at full dilation.

  • And like we mentioned before, greater pupil size equals less visible iris and a whole different-looking eye color.

  • This can happen in both eyes, but usually it's just one.

  • And if this ever happens to you, you're in good company, since a permanently blown pupil was also the cause of David Bowie's famous mismatched eyes.

  • Whether it also makes you a rock legend?

  • Less clear?

  • Everything we've talked about so far that can change your eye color comes down mostly to just, like, a roll of the dice.

  • But what if you could choose your own adventure, and actually select your eye color?

  • It sounds like science fiction, but for some, this has become a reality.

  • Congenital aniridia is a rare genetic eye disorder where you are born without a part of or all of your iris.

  • As with trauma to the eye, this means that your pupil is larger and your eyes look darker.

  • Not the pupil control.

  • This, of course, leaves people with a sensitivity to light, but it can also lead to vision loss.

  • But there is a procedure that can help correct thisan iris implant.

  • They are not FDA-approved yet, but doctors can get exemptions to use them on compassionate grounds in the US, and they are available in some other countries.

  • And the caution to approve them for wider-scale use might be warranted.

  • Because although iris implants might improve vision and reduce glare in individuals with aniridia, they might also cause some nasty complications, like glaucoma.

  • These prostheses are still pretty new, so it's up to each individual and their doctor to weigh the risks and benefits.

  • So if you do have a condition where having a new iris could really help, technically, you could go for any color you want.

  • Maybe throw some stripes on there and get funky with it.

  • So now you know!

  • There's a lot that can happen to change your eye color.

  • And while it might be jarring to see such a change, no matter what color they are, we think that beauty is in the eyes of the beholder.

  • [♪ OUTRO ♪, thanks for watching!]

You probably think you know the color of your eyes pretty well.

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