Episcleritis Flashcards

1
Q
All of the following are true about episceleritis except;
Self limiting
Recurs often
Causes scleritis
Associated with systemic dz
A

Causes scleritis it not TRUE.

Episcleritis DOES NOT CAUSE SCLERITIS.

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2
Q

Which statement is false:
A. Simple episcleritis is more common than modular
B. Nodular episcleritis is associated with systemic dz and simple is assciated with idiopathic etiology.
C. Simple episcleritis is more symptomatic than nodular

A

C. Vice versa

Nodular episcleritis also lasts longer.
Nodular episcleritis is tender and mobile

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3
Q

T/F vision is never affected with episcleritis.

A

True!!!

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4
Q

One of the important signs of episcleritis is hypermedia is often sectorial, and often within …

A

Palpebral fissure.

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5
Q

List in order from most superficial vessels to inferior
Conjunctival, sclera, or episcleral

Name colors

A

Conjunct (light red) to episclera(deep red when inflammed) to sclera (deep purple)

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6
Q

2/3 of episcleritis is idiopathetic.

A

Yep!!

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7
Q

2.5 % phenyephrine is used to determine if the episcleral vessels are going to blanch.
The conjunctiva will blanch like nothing there at all

A

Episcleral vessels will get better in redness

Sclera vessels will remain same.

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8
Q

Scleritis is more painful than episcleritis. T/f

A

True

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9
Q

Scleritis goes away on its own .

It is also more common .

A

False.

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10
Q
The most common type of anterior scleritis is 
Diffuse 
Nodular
Necrotizing with inflammation
Necrotizing w/o
A

Diffuse

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11
Q

Anterior necrotizing w/ inflammation is VERY painful and you may get perforation. True / false

A

True

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12
Q

Necrotizing WITHOUT INFLAMMATION is most asociated with RA, has melting of episcleral and sclera tissue.
They will have a high mortality due to systemic due

Symptomatic

T/f

A

FALSE. N W/O INFLAMMATION IS ASYMPTOMATIC

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13
Q

Posterior scleritis is usually bilateral . T/ f

A

FALSE. It is unilateral. It’s an exception to the rule of either.

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14
Q

Posterior scleritis.

A

Means you have flattening of posterior aspect of globe; thickening of posterior choroid and scleral retrobulbar edema; POTENTIALLY BLINDING

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15
Q

TOPICAL DRUGS ARE NOT HELPFUL IN ANTERIOR SCLERTITIS.

A

Trueeeeee!!!!
Never use a topical agent at the level of sclera.

Use a oral nsaid like naproxen, ibuprofen, indomethycin.
And oral steroid

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16
Q

A sclera disorder that has outward pouching of the sclera WITHOUT involvement of the uveal tissue

-occurs secondary to sclera inflammation

A

Ectasia

17
Q

A sclera disorder that has outward pouching of sclera along with the uveal tissue.

-may be UNRELATED to sclera inflammation

A

Staphyloma

18
Q

Sclera icterus

A

=yellow sclera.