http://www.fpnotebook.com/
Sclera
Aka: Sclera, Scleral Icterus, Yellow Sclera
- Physiology
- Sclera is thick, protective outer coat of the eye
- Poorly vascularized
- Normal Findings
- Normally white and opaque
- Causes: Scleral Inflammation
- Scleritis
- Episcleritis
- Causes: Scleral Discoloration
- Blue Sclera suggests Osteogenesis Imperfecta
- Yellow Sclera Causes
- Carotenemia does not involve the Sclera
- Scleral Icterus
- Hyperbilirubinemia (associated with Jaundice)
- Bilirubin uniformly deposits throughout Sclera
- Quinacrine
- Yellow discoloration near limbus
- Yellow subscleral fat (normal)
- Involves only the area farthest from the limbus
- Reference
- Degowin (1987) Bedside Diagnostic Exam, p. 480