Yes, people with bipolar disorder, especially during manic or hypomanic episodes, may experience noticeable eye changes, including dilated pupils and seemingly altered iris color (like blue eyes appearing brown or black), often described as "sparkling" or "darker," linked to neurotransmitter effects and pupil size, though these are anecdotal and preliminary research suggests structural/functional links.
Increased norepinephrine levels in manic/hypomanic states causing sympathetic discharge would result in pupillary dilation, causing the eyes to dilate. The dilatation would result in increased contrast with the white sclera and make the eyes appear darker.
Studies have suggested that those with a bipolar disorder may, during manic/hypomanic states, evidence sparkling eyes, have dilated pupils and, albeit rarely, evidence iris colour changes, but while during depressive episodes, they may have 'less light in the eyes' and report or experience perceptual dimming.
Among females, these same Figures indicate that dysmorphologies in bipolar disorder and schizophrenia are similar in terms of overall widening and vertical shortening of the face, outward displacement of the cheeks, outward and upward displacement of the jaw and upward displacement of the chin; there appeared to be ...
Symptoms of bipolar disorder
“'Bipolar eyes' is a nonclinical term used to describe the look of someone in a manic episode, where the eyes convey excess energy or excitement,” he says. But, changes in eye appearance are just one potential part of a bigger picture when it comes to diagnosing and managing bipolar disorder.
The first red flag of bipolar disorder often appears as significant changes in sleep patterns, mood instability (irritability/euphoria), increased energy/agitation, and rapid thoughts/speech, frequently mistaken for unipolar depression or normal moodiness, with sleep disruption (insomnia or oversleeping) and heightened irritability being very common early signs, notes Better Mental Health.
Relationships suffer, careers are lost, and physical health declines. Most importantly, untreated end-stage bipolar disorder symptoms can result in self-harm or suicidal actions. Even with treatment, about 37% of patients relapse into depression or mania within 1 year, and 60% within 2 years.
The Big Five personality comprises independent traits of neuroticism, extraversion, openness to experience, agreeableness and conscientiousness (McCrae and John 1992) and forms the basis of several personality inventories (Costa and McCrae 1992).
At the outset, bipolar symptoms are commonly mistaken for ADHD, depression, anxiety, borderline personality disorder, and, in its more severe manifestations, as schizophrenia.
Ignoring a person with bipolar disorder can escalate their mood swings and trigger their negative emotions. It can be harmful to a person and your relationship with that person. This is because such a person might experience frequent changes in emotional stability.
While brain scans cannot be used to diagnose bipolar disorder, they can show grey matter and amygdala activity. This information can help doctors understand how bipolar disorder affects the brain and how brain activity in those with bipolar disorder compares to those of others with a different mental health condition.
Like all individuals, people with bipolar disorder have many good attributes, but at times, they also display less desirable qualities, such as being withdrawn, irritable, moody, and depressed. They may be affectionate and loving sometimes and then cold and distant at other times.
Schizophrenia changes how a person thinks and behaves.
The first signs can be hard to identify as they often develop during the teenage years. Symptoms such as becoming socially withdrawn and unresponsive or changes in sleeping patterns can be mistaken for an adolescent "phase".
On a background of minor dysmorphologies of the upper face, maxilla, midface and periorbital region, the main features in bipolar disorder are (a) retrusion and shortening of the premaxilla, nose, philtrum, lips and mouth (the frontonasal prominences), with (b) protrusion and widening of the mandible-chin.
The main symptom of bipolar disorder is extreme changes to your mood. You sometimes have either: high moods (mania or hypomania) – for example, feeling very happy, excited or energetic. low moods (depression) – for example, feeling sad, tired or hopeless.
Manic and hypomanic episodes include three or more of these symptoms:
Avoid Arguing or Raising Your Voice
Raising your voice or engaging in heated arguments with someone who has bipolar disorder can make the situation worse. During a manic episode, emotions are already heightened, and a raised tone or confrontation can escalate conflict and make it harder to manage.
How many hours should a bipolar person sleep? People should try to sleep at least 7 hours per night, regardless of whether they have a condition such as bipolar disorder.
A bipolar meltdown could look different depending on the symptoms you're currently experiencing. For example, you might: Go on a “binge,” or “bender,” of continuous reckless activities, like substance use, unsafe sex, or spending money. Become verbally aggressive with someone, even someone you love.
In bipolar disorder, structural brain abnormalities in the prefrontal cortex have been confirmed in postmortem studies60,61 and with structural MRI. For example, the subgenual portion of the anterior cingulate cortex was reduced in volume in patients with bipolar disorder with a family history of affective disorder.
You can also support your loved one by: