Ophthalmology Book

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Corneal Disorders

Eyelid Disorders

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Sclera Disorders

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Traumatic Injury

Vision Disorders

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ScleraAka: Scleral Icterus, Yellow Sclera

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

Scleral Diseases (C0036412)

Definition (MSH)General disorders of the sclera or white of the eye. They may include anatomic, embryologic, degenerative, or pigmentation defects.
ConceptsDisease or Syndrome (T047)
MSHD015422
EnglishDisorder of sclera, sclera, SCLERA DIS, Sclera Disease, Sclera Diseases, SCLERAL DIS, Scleral Disease, Scleral Diseases
Spanishtrastorno de la esclerotica
Parent ConceptsEye diseases (C0015397), Disorders of globe (C0270998), Sclera and episclera finding (C0423266)
SourcesCST, MSH, MTH, NDFRT, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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