What causes yellowish sclera with normal bilirubin levels?
Patient: Hi.I have noticed that my sclera is a bit yellowish compared to others.Though it s not the entire sclera only the exposed portion.I have normal bilirubin level and liver enzymes.But the thing is I have a low hemoglobin level.I m just wondering what might be causing the yellowish discoloration.Thank you. Doctor: hi.noted history of yellowish discoloration over the exposed sclera. this is what you call a dirty sclerae, secondary to environmental factors. if you want a clinical evaluation, a consultation with your doctor is still best, for complete physical examination and confirmation. good hygiene is also advised and avoidance of polluted areas.hope this helps.good day!!~dr.kaye