Episcleritis and scleritis

Question 1

Episcleritis and scleritis present as

Answer 1

a localised area of inflammation.

Both may become inflamed but:

• episcleritis is essentially self-limiting
• while scleritis (which is rare) is more serious as the eye may perforate.

Question 2

History

Answer 2

A red and sore eye is the presenting complaint.

There is usually no discharge but there may be reflex lacrimation.

Scleritis is much more painful than episcleritis and tender to touch.

Question 3

Management

Answer 3

An underlying cause such as an autoimmune condition should be identified.

Refer the patient, esp. for scleritis.

Corticosteroids or NSAIDs may be prescribed.