Scleritis Flashcards
1
Q
What is scleritis?
A
Inflammation/infection of full thickness of sclera
2
Q
Which is more serious episcleritis or scleritis?
A
Scleritis is more serious (RARE AND SEVERE)
3
Q
What is the most severe type of scleritis?
A
Necrotising scleritis
4
Q
Wat can be features of scleritis?
A
- Visual impairment
- May not have pain
- Can lead to perforation of sclera
5
Q
Associated systemic conditions of scleritis?
A
- RA
- SLE
- IBD
- Sarcoidosis
- Granulomatosis with polyangitis
6
Q
Presnetation of scleritis?
A
- Severe pain
- Pain with eye movement
- Reduced visual acuity
- Tenderness to palpate eye
- Photophobia
- Eye watering
- Abnormal pupil reaction to light
- Violet/blue hue
7
Q
What do 50% of scleritis present with?
A
Bilateral
Acute onset
8
Q
Initial management of scleritis?
A
SAME DAY REFERRAL TO OPHTHALMOLOGIST
9
Q
Secondary care management of scleritis?
A
- Consider underlying systemic condition
- NSAIDs (ORAL)
- Steroids (ORAL)
- Immunosuppressants (for underlying systemic conditions)
10
Q
Diagnosis of scleritis?
A
Clinical:
-However lab testing to discover associated AI disease
11
Q
What can be cause of scleritis?
A
Underlying AI condition
-SLE
HLA B27 (Ask about sore joints)
