scleritis

Question 1

what is it?

Answer 1

Scleritis describes full-thickness inflammation of the sclera. It generally has a non-infective cause and typically causes a red, painful eye.

Question 2

RF?

Answer 2

rheumatoid arthritis: the most commonly associated condition
systemic lupus erythematosus
sarcoidosis
granulomatosis with polyangiitis

Question 3

features?

Answer 3

red eye
classically painful (in comparison to episcleritis), but sometimes only mild pain/discomfort is present
watering and photophobia are common
gradual decrease in vision

Question 4

mx?

Answer 4

same-day assessment by an ophthalmologist
oral NSAIDs are typically used first-line
oral glucocorticoids may be used for more severe presentations
immunosuppressive drugs for resistant cases (and also to treat any underlying associated diseases)