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September 1963

Unilateral Scleral Icterus Due to Choroidal Hemorrhage

Author Affiliations

Clinical Fellow, Retina Foundation, Boston, Dr. Tolentino.; Department of Clinical Eye Research, Institute of Biological and Medical Sciences, Retina Foundation; Department of Ophthalmology, Massachusetts Eye and Ear Infirmary.

Arch Ophthalmol. 1963;70(3):358-360. doi:10.1001/archopht.1963.00960050360015

Although medical textbooks on physical diagnosis include discussions of the differential diagnosis of scleral icterus, no mention is made of the implications of unilateral icterus.1,2 Ophthalmologists are aware of several types of unilateral icterus, such as scleral icterus in a monocular patient resolving subconjunctival hemorrhage in one eye, and staining of tissues by prolonged use of certain local eye medications, for instance, mercurials, iodides, and proteinated silver preparations.3,4 It is the purpose of this paper to report another cause of unilateral icterus which apparently has not been previously recognized. The following cases have been observed in the past two years.

Report of Cases 

Case 1.  —A 70-year-old white female was referred for treatment of a retinal detachment in her right aphakic eye. One month previously, an unsuccessful scleral buckling procedure had been performed. The past history revealed no evidence of liver disease. As a child she had had

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