scleritis

Question 1

what is scelritis?

Answer 1

inflammation of sclera

Question 1

what is the most severe form of sceleritis?

Answer 1

necrotising scleritis

Question 2

what can necrotising scleritis lead to?

Answer 2

perforation of sclera

Question 3

what can cause scleritis?

Answer 3

many are idiopathic
associated with systemic inflam conditions
less common - due to infection - pseudomonas/ staph.a

Question 4

is scleritis more common in women?

Answer 4

yes

Question 5

what are some associated conditions to scleritis?

Answer 5

RA
vasculitis - particularly granulomatosis with polyangitis

Question 6

how does scleritis present?

Answer 6

gradual onset
unilateral or bilateral
severe boring pain, worse on movement
photophobia
epiphora
red, inflam scelera
reduced visual acuity
tenderness for palpation of eye

Question 7

how do you manage sclerites?

Answer 7

urgent assessment
nsaids
immunosuppression
antimicrobials

Question 8

why would immunnosuppression medication such as methotrexate be useful within scleritis?

Answer 8

treat underlying conditions