Xanthopsia

Last update: June 10, 2025

Summary about Disease


Xanthopsia is a condition where vision is dominated by a yellow tint. It is not a disease in itself, but rather a symptom indicating an underlying condition or exposure to certain substances. The world appears as though viewed through a yellow filter.

Symptoms


Dominant yellow tint in vision

Everything appears yellow

In some cases, this may be accompanied by other visual disturbances depending on the underlying cause.

Causes


Digitalis toxicity: A common cause, resulting from an overdose of digitalis medications (used to treat heart conditions).

Jaundice: Due to elevated bilirubin levels in the blood, often related to liver or gallbladder problems.

Cataracts: Some types of cataracts can cause a yellowish discoloration of vision.

Certain medications: Some drugs besides digitalis can cause xanthopsia as a side effect.

Rarely, exposure to certain chemicals or toxins.

Medicine Used


There isn't a specific medicine to treat xanthopsia directly. The focus is on addressing the underlying cause:

Digitalis toxicity: Treatment involves stopping the digitalis medication, monitoring potassium levels, and potentially administering Digibind (digoxin-specific antibody fragments).

Jaundice: Treatment depends on the cause of the jaundice (e.g., treating hepatitis, removing gallstones).

Cataracts: Cataract surgery to remove the clouded lens.

Is Communicable


No, xanthopsia itself is not communicable. It is a symptom resulting from an underlying condition or exposure, not an infectious disease.

Precautions


Medication Safety: If taking digitalis, adhere strictly to prescribed dosages and attend regular checkups with your doctor to monitor levels.

Liver Health: Maintain a healthy lifestyle to promote liver function (e.g., avoid excessive alcohol consumption).

Eye Exams: Get regular eye exams to detect cataracts and other eye conditions early.

Seek Medical Attention: If you experience a sudden onset of yellow vision, see a doctor promptly to determine the underlying cause.

How long does an outbreak last?


Xanthopsia is not an "outbreak." The duration depends entirely on the underlying cause:

Digitalis Toxicity: May resolve within days to weeks after stopping the medication and receiving appropriate treatment.

Jaundice: Duration depends on the cause and its treatment.

Cataracts: Persists until cataract surgery is performed.

How is it diagnosed?


Medical History: Doctor will inquire about medications, medical conditions (especially heart and liver), and possible toxin exposures.

Physical Examination: Including assessment of skin and eyes for jaundice.

Eye Exam: Including testing for cataracts and other eye problems.

Blood Tests: Liver function tests (to assess bilirubin levels), digitalis levels (if applicable), and other tests as needed to identify the underlying cause.

ECG: To assess for digitalis toxicity.

Timeline of Symptoms


The timeline of xanthopsia symptoms depends on the cause:

Digitalis toxicity: Can develop relatively quickly after reaching toxic levels.

Jaundice: Gradual onset with progressive yellowing of the skin and eyes, accompanied or preceded by other symptoms of liver disease.

Cataracts: Gradual development of yellow vision as the cataract worsens.

Important Considerations


Don't Self-Treat: Xanthopsia is a symptom, not a disease in itself. Attempting to treat it without identifying the underlying cause can be dangerous.

Digitalis Toxicity is Serious: If you are taking digitalis and experience yellow vision, seek immediate medical attention as digitalis toxicity can be life-threatening.

Underlying Conditions: Be aware that xanthopsia can be a sign of a serious medical condition (e.g., liver failure). Early diagnosis and treatment are crucial.