Scleritis

Question 1

What does scleritis describe?

Answer 1

Full-thickness inflammation of the sclera

Scleritis generally has a non-infective cause and typically presents with a red, painful eye.

Question 2

What is the most commonly associated condition with scleritis?

Answer 2

Rheumatoid arthritis

Other risk factors include systemic lupus erythematosus, sarcoidosis, and granulomatosis with polyangiitis.

Question 3

List common features of scleritis.

Answer 3

• Red eye
• Classically painful (but may present with mild pain/discomfort)
• Watering
• Photophobia
• Gradual decrease in vision

The pain in scleritis is generally more severe than in episcleritis.

Question 4

What is the first-line treatment for scleritis?

Answer 4

Oral NSAIDs

Non-steroidal anti-inflammatory drugs are typically used to manage pain and inflammation.

Question 5

When might oral glucocorticoids be used in the management of scleritis?

Answer 5

For more severe presentations

Glucocorticoids may be necessary to reduce inflammation in cases that do not respond to NSAIDs.

Question 6

What treatment options are available for resistant cases of scleritis?

Answer 6

Immunosuppressive drugs

These drugs may also treat any underlying associated diseases.

Question 7

True or False: Scleritis is typically caused by an infection.

Answer 7

False

Scleritis generally has a non-infective cause.

Question 8

What type of assessment is recommended on the same day for suspected scleritis?

Answer 8

Assessment by an ophthalmologist

Prompt evaluation is crucial to prevent complications.