Scleritis (3) Flashcards
What is this?
What is its most severe type?
→ How does it present?
→ What can it lead to?
What is Episcleritis?
→ How does it differ from Scleritis?
What do ~50% of these pts have?
➊ Inflammation of the sclera
➋ Necrotising Scleritis
→ Visual impairment w/o pain
→ Perforation of the sclera (most significant complication)
➌ Benign, self-limiting inflammation of the episclera, the outermost layer of the sclera
→ Typically less painful than scleritis and managed with analgesia, cold compresses, and safety-netting
➍ An associated rheumatological condition e.g. RA, SLE, IBD, Sarcoidosis
How does it present?
What is seen O/E?
How is it managed?
➊ • Severe pain – Worse at night
• Pain on eye movement as extra-ocular muscles insert into scleral tissue (this won’t be present in episcleritis as the insertion points aren’t affected)
• Photophobia
• Watery eye
➋ • Reduced visual acuity
• Abnormal pupil light reflex
➌ NSAIDS, Steroids, or Immunosuppressants
