Sclera and Episclera

Question 1

Sclera

Answer 1

The white layer of the eye that covers most of the outside of the eyeball.

Question 2

Function of sclera

Answer 2

The sclera functions as the supporting wall of the eyeball. Ithelps maintain your eyeball’s shape, and protects it from injury

Question 3

What is episcleritis

Answer 3

Episcleritis is inflammation of the superficial,episcleral layerof the eye.
.relatively common
.benign

   .self-limiting

Question 4

How does it present?

Answer 4

Typical symptoms :
.generalized or local redness of the eyes
.mild soreness or discomfort
.typically less painful
.no vision loss
.Bright red eye
.Vessels blanch with phenylephrine drops and can be moved by a cotton swab

Question 5

How does scleritis present?

Answer 5

.significant pain
.deep red eye
.pain with eye movement
.vision loss
.vessels that do not blanch with phenylephrine

Question 6

What is scleritis?

Answer 6

Scleritis is theinflammation in the scleral tissues with injection of deep episcleral vessels

Question 7

What causes scleritis?

Answer 7

Scleritis is most often linked toautoimmune diseases. Eg;
.Rheumatoid arthritis
.systemic lupus erythematosus

Question 8

How does scleritis present?

Answer 8

.pain🤕
.tenderness of the eye😖
.redness eye is bluish red 🥵
.swelling of the white part of the eye😳
.tearing🥲
.extreme sensitivity to light😶‍🌫️

Question 9

Treatment of non infectious scleritis?

Answer 9

.Always requires systemic therapy :
.nonsteroidal antiinflammatory drugs (NSAIDs)
.glucocorticoids
.other immunosuppressive drug
🚨Steroid injection is contraindicated