RT Book, Section A1 Singh, Manpreet A1 Whitfield, Denise A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181038177 T1 Conjunctival Icterus T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181038177 RD 2024/03/28 AB Conjunctival icterus is an indicator of elevated bilirubin levels (hyperbilirubinemia) due to an underlying disease that affects the metabolism or excretion of bilirubin. The eye conjunctiva is a thin layer that overlies the sclera. It is one of the very first tissues to change in color due to increasing bilirubin levels. In general, it is seen when bilirubin levels reach at least 2 to 4 mg/dL. The term scleral icterus is an incorrect term to describe this condition (misnomer) because this tissue has the least amount of bilirubin staining it.