Scleritis

Question 1

what is scleritis

Answer 1

full thickness inflammation of the sclera
not typically due to infection but linked to inflammatory diseases

Question 2

presentation of scleritis

Answer 2

Severe pain and with eye movement
Reduced visual acuity
Photophobia
Abnormal pupil reaction to light
Eye watering
Tenderness to palpation of the eye

Question 3

what is the most severe type of scleritis

Answer 3

necrotising scleritis
may not have pain
risk of perforation of the sclera

Question 4

management of scleritis

Answer 4

same day referral to ophthalmology
topical/ systemic NSAIDs and Steroids
immunosuppression for underlying disease