Sanpaku (pronounced san-pach-ew)
An eye in which the sclera (white of the eye) is visible
on three sides of the iris rather than the usual two (left & right).
Pre 1700s: A borrowing from the Japanese 三白 (sanpaku) (three whites) or 三白眼 (sanpaku gan) (three-white eyes). Sanpaku is a noun and sanpakuish is an
adjective; the noun plural is sanpakus.
Sanpaku (三白) (three whites) & Sanpaku gan (三白眼) (three-white eyes) are Japanese terms from traditional Chinese
& Japanese medicine and they describe the “condition” in which the white of
the eye is visible either above or below the iris when looking straight ahead. Although the word was popularized by Japanese
educator and nutritionist Nyoichi “George” Ohsawa (1893–1966) when he published
the book You Are All Sanpaku in 1965,
the idea had existed in oriental medicine probably for centuries although it’s
impossible accurately to determine its origin.
It was mentioned in the diaries of at least one nineteenth century US Navy
physician but attracted no interest in the West until the release of Ohsawa san’s
book. In Western medicine the phenomenon
is described as “lower scleral show” or “inferior scleral show”, terms which
are merely descriptive because (1) it’s something thought within the range of
normality, (2) is indicative of no other mental or physical states and thus (3)
is generally not considered a medical condition requiring treatment and is attributed variously to (3a) normal
variation in eyelid anatomy, (3b) transient
facial expression or gaze direction, (3c) traumatic injury or (3d) age-related tissue changes. There are orbital or eyelid conditions (the best known being a thyroid-related eye disease causing lid retraction) which can induce a sanpaku-like appearance but instances are vanishingly rare. In short, the medicalization
of sanpaku is thought a product of superstition so predictably, on social media, sanpaku
eyes seem to have a cult following.

Sydney
Sweeney (b 1997) displaying her Sanpaku inferior (
sclera
(white of the eye) visible below the iris),
Met Gala,
Metropolitan Museum of Art, Manhattan, New York City, May 2025. Lovely though her eyes are, it may be not
many have long focused on them.
In You Are All Sanpaku, Ohsawa san described
sanpaku as a condition which indicated physical and mental imbalances and
discussed its significance in relation to diet and overall well-being. Historically, sanpaku is believed to have entered
oriental medicine from the Japanese practice of “face-reading” and those with
eyes observed thus were considered ill-fated and destined for a life filled
with misfortune, culminating often with an early demise. It gained a following on social media by the
usual means: celebrity association.
Diana, Princess of Wales, President John Kennedy & Marilyn Munroe, all
of whom died young, were all sanpakus and as Ohsawa san warned in You Are All Sanpaku: the eyes indicate
someone's fate, signifying imminent danger or an “early and tragic end.”

Diana, Princess of Wales (1961-1997, far left), Marilyn Monroe (1926–1962, centre left), Billie Eilish (b 2001. centre right) and John Kennedy (JFK, 1917–1963; POTUS 1961-1963, far right). Three died young in tragic circumstances but Ms Eilish remains fit and well.
The original basis of “face reading” isn’t
known but as a diagnostic tool it focused on the matter of “balance”, something
important also to the physicians of Antiquity who identified the “four humors”:
flegmat (phlegm), sanguin (blood), coleric (yellow bile) & melanc (black
bile) which were the causative agents of the four personality types, the phlegmatic,
the sanguine, the choleric & the melancholic. In the East, signs of sanpaku meant a man’s
whole system (physical, physiological and spiritual) was out of balance, something
caused by sins committed against the order of the universe, accounting for his sickness,
unhappiness or insanity. Ohsawa san noted
that in the West, such folk had come to be called “accident prone” and they were
the ones who should take note of the warning from sanpaku, nature’s tap on the
shoulder. A practical author of
self-help texts, Ohsawa san recommended sanpaku eyes should be treated with a macrobiotic
diet, focusing on brown rice and soybeans, something on which he had real expertise
as the founder of the macrobiotic diet.

By their sanpaku you shall know them: Adolf Hitler (1889-1945; Führer (leader) and German head of government 1933-1945 & head of state 1934-1945, left), crooked Hillary Clinton (b 1947; US secretary of state 2009-2013, centre) and cult-leader Charles Manson (1934-2017, right).
Interestingly, the beliefs about sanpaku are
culturally variable although universally it’s held the condition determines
one's fate. In the Japanese tradition
those consequences are ill fate and misfortune while the Chinese associate
sanpaku with good luck and wealth and this divergence has interested cultural
anthropologists who study the symbolism and mythologies of different societies. The tradition divides the eyes into "yin
sanpaku" and "yang sanpaku", the roots of this the ancient Chinese concept of yin
& yang, representing the duality of opposing yet complementary forces in the
universe. Yin and Yang are fundamental
concepts in Chinese philosophy and represent complementary and interconnected
aspects of the universe. Yin is associated with qualities such as darkness,
femininity, passivity, and coldness, while Yang is associated with light,
masculinity, activity, and warmth. They’re seen as opposing forces that are in
a constant state of dynamic balance and they exist within all phenomena,
including human physiology, nature and society. In this they differ from the (wholly
un-related) concept in particle physics of matter and anti-matter. Matter is the familiar stuff which is much of
the physical universe (particles such as protons, neutrons, and electrons)
while anti-matter consists of particles with the same mass as their matter
counterparts but carrying an opposite charges. When matter and anti-matter particles come
into contact, they can annihilate each other, releasing energy. Ying and Yang, mutually dependent, live in
peaceful co-existence.

The Mean Girls (2004) crew demonstrate the range: Rachel McAdams (b 1978, far left) & Lindsay Lohan (b 1986, centre-left) are in the part of the population who are either not sanpakus or the effect is imperceptible. Lacey Chabert (b 1982, centre-right) is in the group with a separation around 1 mm while Amanda Seyfried (b 1985, far right) displays up to 2 mm depending on her expression.

A quadrilateral meeting to discuss German war guilt reparations and allied debts accumulated during World War I (1914-1918): Raymond Poincaré (1860–1934; President of France 1913-1920, far left), Andrew Bonar Law (1858–1923; Prime Minister of the United Kingdom 1922-1923, centre-left), Benito Mussolini (1883-1945; Duce (leader) & Prime-Minister of Italy 1922-1943, centre right) and Georges Theunis (1873–1966; Prime Minister of Belgium 1921-1925 & 1934-1935, far right), 10 Downing Street, London, December 1922.
Before it became a meme, this was an obscure photograph which until the twenty-first century had appeared only in some specialist history texts but as the internet achieved critical mass, memes became a thing and Mussolini’s sanpaku eyes were a gift for the meme-makers, most captions suggesting the duce may have had a sudden premonition of his own unfortunate end although others offered: “I feel naked without a moustache”, “I think I have imposter syndrome”, “Oh God, I just pooped my pants”, “I know one of these men is a Freemason but I don't know which” and “I wonder if they can tell I've smoked some weed”. However, although not noted as a mystic, he may have sensed another's impending death, “sitteth at the right hand”, Andrew Bonar Law then having only months to live.

Princess Beatrice, Mrs Edoardo Mapelli Mozzi (b 1988). Until she appeared at a royal wedding in the fascinator she made famous (some humorless souls would have said infamous), she was most noted for her lovely sanpaku eyes. In Japanese face reading, yang sanpaku eyes
(white part visible above the iris) reveal a person's dark and sinister nature,
the eyes indicating the unstable mental state suffered by individuals
exhibiting uncontrollable aggression, such as psychopathic murderers or serial
killers. Yin Sanpaku Eyes (sclera visible below the iris) signify a different physical or mental imbalance, one
caused by the abuse of drugs, alcohol, and sugar which disrupt the body's
equilibrium. Although
discouraged by all in the profession except the odd, entrepreneurial cosmetic surgeon,
treatment options are available to “correct” scleral show and the most effect treatment
is aesthetic plastic surgery, specifically the procedure called blepharoplasty,
which can correct the appearance of the eyes.
The construct of blepharoplasty was blepharo-
+ -plasty. Blepharo- was from the New Latin, from the Ancient Greek βλέφαρον (blépharon)
(eyelid; a feature resembling an eyelid) and -plasty was from the Ancient Greek πλαστός (plastós) (molded, formed) which now has the special meaning in
medicine meaning "repair, restoration or re-shaping of part of the body
with a surgical procedure".

Alexandria Ocasio-Cortez (AOC, b 1989, US Representative (Democrat-New York) since 2019 and one of "the squad") displaying her Sanpaku superior (sclera visible above the iris). Casual
observation suggests sanpaku eyes are far from rare and there are said to be
three classes: (1) those with at least a .25 mm (.0098 inch) space between the
iris and the upper and lower eyelids, (2) those with a separation of 1 (.0394
inch) mm and (3) those with a gap of 2 mm (.0787 inch) or more. The concition need not manifest as something
symmetrical (in the vertical axis), the two elements being (1) Sanpaku
inferior: white visible below the iris and (2) Sanpaku superior: white visible
above the iris, the latter said often induced when a subject is frightened or
physiologically stressed). However
although “estimates” have been published, neither the prevalence of the
condition nor the distribution within the three (unofficial) groups have ever
been the subject of a reputable epidemiological study; because “sanpaku eyes”
is not a recognised medical or anthropometric category; funding would thus be
hard to secure although, as a purely observational and statistical exercise,
presumably not many ethics departments would much be troubled. So, lacking a defined diagnostic entry, there
is no standardised measurement threshold and estimates of prevalence are thus
almost certainly speculative and thus unreliable. Those with sanpaku eyes should not too much
dwell on the numbers and instead flutter their eyelashes and enjoy the admiring
glances.

Mean Girls four-way phone call: Eye-rolls (Amanda Seyfried, top right) don't count, a sanpaku defined only by separation maintained when looking ahead or to the side.
Humans are not the only species with a sclera but we are untypical in it being so visible. That humans even have white scleras has interested
linguistic anthropologists, evolutionary biologists and other researchers, some offering the Cooperative Eye
Hypothesis which suggested the distinctive appearance evolved as a mechanism
with non-verbal communication could be enhanced.
According to this conjecture, the high visibility of the iris &
pupil against the white background allows an interlocutor more easily to track eye
movements, helping individuals to understand where others are looking during interactions. Observational studies revealed the way humans
and other great apes move their heads and eyes in different ways, humans relying
more on eye movements than head movements to see where someone else is looking.
Apes, without the white component in their
eyes, tend more to move the whole head.
Not all support the "cooperative eye" faction but it’s an interesting approach
to understanding the evolutionary significance of the human eye's appearance and
the sophistication of communication is certainly a noted difference between humans
and apes.

I
f the
human eye lacked a white sclera it would mean the “messaging” in facial
expressions (a non-verbal clue in communication) would have evolved a little
differently; Paris Hilton (b 1981) illustrates (digitally altered image). Ms Hilton has brown eyes but often wears blue
contact lens.As far as is known, all living creatures on Earth came ultimately
from a single event which can be said to be the origin of life because at this
time, there is no evidence of other living things anywhere in the
universe. Everything else is
speculative; life may have started (or arrived) here many other times but for
whatever reason not thrived and around the universe there may be many forms of
life; some may be more advanced than us or we may be unique in our scientific
and technological mastery. The single
point of origin is why we share elements of DNA (Deoxyribonucleic acid, the
so-called “building-blocks of life”) with our cats, dogs, goldfish and bananas
so, unsurprisingly, in living creatures, eyes are common, often in pairs but
unlike those in humans, not all are out-growths of a brain although, in many of
the lineages of the Metazoa they are neurally derived and remain tightly integrated
with the central nervous system.

A nice pair
of
boobies.
Charmingly, blue-footed
boobies are known to be monogamous, pairs often staying together for life. Like us, birds are two eyed vertebrates although
except for the old outlier (like owls) their eyes, for good reasons, shifted to
the sides. Note how the booby’s eye
differs from that of a human.As a general principle it all depended on the developmental
origin and phylogeny (the evolutionary history of groups of organisms). In vertebrates (mammals, birds, fish etc),
the eye evolved as an evagination (a growth outward) of the forebrain during
embryogenesis (the process by which an embryo is formed and develops). Cephalopods (octopus, squid etc) differ in
that while the optic lobes of the brain are large and closely connected, the
eye is not literally a brain protrusion; thus, while neurally integrated, the
eyes are not brain outgrowths. Arthropods
(insects, crustaceans and such) have compound eyes formed from ectodermal (of the The outermost of the three tissue layers in the embryo of a metazoan animal) tissues which connect to the brain via optic nerves and are thus also neurally
connected but not developmental extensions of the brain itself. Many cnidarians (such as the box jellyfish) possess
complex lens eyes but lack a centralized brain, their eyes peripheral sensory
structures connecting to nerve rings rather than a true brain. Many invertebrates have relatively simple
photoreceptors which can be thought of as “eyespots” which can be distributed
across body tissues, the best contemporary comparison probably the sensors now so ubiquitous in electronic devices.
Boobies, one
step at a time.
A booby is
a seabird in the genus Sula, part of the Sulidae family. Boobies are closely related to the gannets
(Morus), which were formerly included in Sula, the genus created in 1760 by the
French naturalist Mathurin Jacques Brisson (1723-1806). The name was derived from súla, the Old Norse and Icelandic word for the other member of the
family Sulidae, the gannet. The English
name booby was based on the Spanish bobo
(stupid) as the tame birds often landed on board sailing ships, where they were
easily captured and eaten. As well as a
popular addition to the diet of sailors for whom meat other than fish was a
rarity, it was fortuitous for many, the Admiralty's archives revealing boobies often
mentioned as having been caught and eaten by shipwrecked sailors.

If
humans had eyes free of a white sclera (like the booby and many birds), our
appearance would be quite different, illustrated by a digitally edited image of
(the former prince/duke/admiral etc) Andrew-Mountbatten Windsor (b 1960),
rendered as a cartoon by Vovsoft. However,
the use of that image to demonstrate the point may not have been the best
choice because, in the original, his expression didn’t appear greatly
different. As well as charming eyes, boobies also have interesting feet. The
distinctive blue feet (the result of pigments ingested from their diet of fish)
also play a part in the bobby’s mating ritual although not exactly in the
podophilic sense familiar in a sub-set of humans. In the spring mating season, the bird’s feet
become a bright turquoise blue and, to demonstrate their health and vitality, conspicuously they will display them to potential partners. The job done, as their eggs hatch, the blue
hue fades to something less vivid. One
aspect of their behaviour which amused the ornithologists who first observed it
was that if among fishers unloading their catch, it tossed a small fish from
the by-catch, a booby will take it and waddle off somewhere to enjoy it in
solitude rather than gulping it down as in common in many species. Like penguins, although ungainly on land,
they are skilled plunge divers which used their streamlined bodies and air sacs
“fly” through the water, catching their prey at high speed and they hunt in
"packs", coordinating their movement to maximize the catch. Boobies have been recorded diving from as
high as 90 m (300 feet), their speed upon entry estimated at around 100 km/h (60
mph).