Scleritis & Episcleritis

Question 1

Which one is usually the result of systemic disease?

Answer 1

scleritis

Question 2

Which one is benign?

Answer 2

episcleritis

Question 3

Which one is self limiting?

Answer 3

episcleritis

Question 4

Which one needs aggressive tx?

Answer 4

scleritis

Question 5

Which one can cause sight loss?

Answer 5

scleritis

Question 6

Which one is idiopathic mostly?

Answer 6

episcleritis

Question 7

What is the presentation of episcleritis?

Answer 7

redness, irritation, watering acutely, NO PAIN, NO VISION CHANGES

Question 8

When does episcleritis resolve?

Answer 8

3 wks

Question 9

How many episcleritis cases are bilateral?

Answer 9

50%

Question 10

How does episcleritis appear?

Answer 10

looks bad, bright red spots, very vascular, localized conjuntivitis

Question 11

What do you think if the pt has recurrent episcleritis?

Answer 11

underlying disease

Question 12

What is some medications you can give pt w/ episcleritis?

Answer 12

artificial tears, Diclofenac opthalmic solution (NSAID), prednisolone acetate (steroid)

Question 13

Does the sclera have vasculature?

Answer 13

no

Question 14

What is scleritis associated with?

Answer 14

RA, polyangitis, IBD, SLE, HZ, HSV, HIV, lyme disease

Question 15

What is the pain like in scleritis?

Answer 15

BORING, worse at night, radiates to periorbital region, worse with movement, impairs sleep, pain on palpitation

Question 16

How do you differentiate scleritis from epi?

Answer 16

scleritis - TTP eyelid, purplish

Question 17

What do you see with posterior scleritis?

Answer 17

nothing

Question 18

How do you treat scleritis?

Answer 18

REFER OUT

Question 19

What does episclera lie?

Answer 19

btw conjunctiva and sclera

Question 20

What tests do you if you suspect systemic disease in episcleritis?

Answer 20

CBC, CMP, UA, ESR, CRP