![]() Both conditions present the same visual symptoms, so it can be difficult to determine exactly which medical ailment you have. Scleral icterus and jaundice are commonly confused because their causes, symptoms, and treatments frequently overlap. Why Scleral Icterus & Jaundice Are Commonly Confused In both cases, the conditions themselves can typically not be treated, but the underlying conditions that are causing the yellowing of the eyes or skin can be addressed. Prompt and accurate diagnosis of scleral icterus verse jaundice is important for proper treatment and referrals to be made. Choroidal hemorrhage occurs following ocular surgery.Subconjunctival hemorrhage produces excess bilirubin at the location of an injury, similar to when a yellow bruise occurs.While most cases are early signs of jaundice, scleral icterus can occur on its own when: There are few instances where only scleral icterus occurs. Scleral icterus is also often the initial symptom of jaundice. Yellowing of the eyes is noticeable at bilirubin levels of 2-3 mg/dL, while yellowing of skin becomes noticeable at 4-5 mg/dL. The eyes are often the first location to take on a yellowish color when bilirubin levels get too high. The yellowing of the eyes is often the first sign that bilirubin levels are off and an underlying condition is present. Scleral icterus often precedes the development of systemic jaundice. Scleral icterus and jaundice share symptoms and causes, but they are two distinct conditions. Almost half of all scleral icterus cases indicate the presence of an underlying disease. While treatment is not always necessary, it is important not to ignore signs of scleral icterus. ![]() The severity of the symptoms vary based on the individual’s condition.
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