Episcleritis and Scleritis Flashcards
1
Q
what is episcleritis
A
inflammation of the surface of the sclera
2
Q
what causes episcleritis
A
idiopathic
3
Q
what causes scleritis
A
RA
granulomatosis with polyangitis
4
Q
what investigations do you need to do in episcleritis
A
none
5
Q
give some of the symptoms and signs you might see in episcleritis
A
redness discomfort grittiness and photophobia often bilateral VA normal
6
Q
give some of the symptoms and signs you might see in scleritis
A
redness
deep, severe ocular pain
+/- decreased visual acuity, photophobia
7
Q
how do you manage episcleritis
A
topical or oral NSAID
8
Q
how do you manage scleritis
A
oral or IV steroids
oral NSAIDs
+/- cytotoxic therapy
9
Q
what are the complications of scleritis
A
keratitis
scleromalacia perforans
posterior scleritis
10
Q
what investigations should you do in scleritis
A
FBC ESR CRP rheumatology urgent referral
