Ophthalmology 10 - Episcleritis + Scleritis Flashcards
1
Q
define episcleritis
A
benign, self limiting
assoc with inflamm disorders
outermost layer of sclera
2
Q
presentation of episcleritis
A
not often painful unilateral segmental redness foreign body sensation dilated vessels on surface watering no discharge
3
Q
management of episcleritis
A
cold compress, safety net, analgesia
1-4 weeks resolve
can try topical steroids, NSAIDs
4
Q
define scleritis
A
full thickness sclera inflammation
most severe type is necrotising scleritis which can lead to perforation
usually no pain but visual impairment
5
Q
assoc conditions with scleritis
A
rheum arth SLE IBD sarcoid GPA
6
Q
presentation of scleritis
A
severe pain in eye pain on eye movement photophobia eye watering reduced acuity abnormal pupil + light reaction tenderness to eye palpation
7
Q
management of scleritis
A
screen assoc systemic conditions + treatment
NSAIDs
steroids/ systemic if necc
immunosuppression if appt systemic condition
