Scleritis

Question 1

What is scleritis?

Answer 1

Inflammation of full thickness of the sclera.

Question 2

Which is more serious, episcleritis or scleritis, and why?

Answer 2

Scleritis, because it can lead to perforation of the sclera.

Question 3

What is the most severe type of scleritis?

Answer 3

Necrotising scleritis

Question 4

What are the most common conditions associated with scleritis and in what percent of patients with scleritis are they present?

Answer 4

1. Rheumatoid arthritis
2. SLE
3. IBD
4. Sarcoidosis
5. Granulomatosis with polyangiitis
   50% of scleritis patients have one of the above.

Question 5

What is this a presentation of:
Acute onset severe eye pain (+ with movement), 50% are bilateral, photophobia, eye watering, reduced acuity, abnormal reaction to light?

Answer 5

Scleritis

Question 6

What is the treatment for scleritis?

Answer 6

1. Consider and treat underlying systemic condition (immunosuppression if appropriate)
2. NSAIDs (topical/systemic)
3. Steroids (topical/systemic)