When he uses his eyes too much they start to bleed. That is my best guess for ems. So instead of always bleeding, it only happens when he has used it multiple times, and is now abusing his eyes.. Mangekyo bleeding explained, why do Mangekyo eyes bleed, Sharingan eyes bleeding, Itachi bleeding eye, Sasuke Amaterasu eye bleed, Eternal Mangekyo. Why do Mangekyo eyes bleed? Here’s the real.
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Itachi and Sasuke have also been shown using Amaterasu which makes the eyes bleed afterwards. Danzo Shimura, Obito Uchiha and Kakashi Hatake, also wielders of the Mangekyo Sharingan, on the other hand, have never used any of the above techniques and have never shown any sign of blindness*. Why didn’t they go blind or have worsened eyesight?. We are witnessing Sasuke ejaculating out of pure ecstasy. Whenever an Uchiha whine, complain or cry like a little bitch (which happens on a regular basis in this mange) we see their precum in the form of tears but rage and hatred is what really turns them on, the bleeding from the eyes indicates they are feeling a sense of insurmountable pleasure.