Episceritis

Question 1

What is episcleritis?

Answer 1

Benign self-limiting inflammation of the episclera

Question 2

What is the episclera?

Answer 2

Outermost layer of sclera, situated just under conjunctiva

Question 3

Who usually gets episcleritis?

Answer 3

-Young & middle aged adults

Question 4

What is episcleritis associated with?

Answer 4

-RA
-IBD
(Both inflammatory disorders)
-Gout

Question 5

Presnetation of episcleritis?

Answer 5

Acute onset unilateral symptoms:

• Typically not painful
• Segmental redness (usually red patch in lateral sclera)
• Foreign body sensation
• Dilated episcleral vessels
• Watering of eye
• No discharge
• Nodules may occur

Question 6

Management of average episcleritis?

Answer 6

• Usually recovers in 1-4 weeks
• Mild cases need no treatment
• Lubricating eye drops can help symptomatically
• Simple analgesia, cold compress & safety net device

Question 7

Management of severe episcleritis?

Answer 7

SELF-LIMITING
Topical/systemic NSAIDs (naproxen)
Topical mild steroid eye drops

Question 8

Episcleritis is caused by infection. True or false?

Answer 8

False, not usually caused by infections

Question 9

What is episcleritis associated with?

Answer 9

Gout

Question 10

Differentiating episcleritis from scleritis?

Answer 10

Phenylephrine drops

-causes blanching of blood vessels in episcleritis not scleritis