Scleritis & Episcleritis Flashcards
Which one is usually the result of systemic disease?
scleritis
Which one is benign?
episcleritis
Which one is self limiting?
episcleritis
Which one needs aggressive tx?
scleritis
Which one can cause sight loss?
scleritis
Which one is idiopathic mostly?
episcleritis
What is the presentation of episcleritis?
redness, irritation, watering acutely, NO PAIN, NO VISION CHANGES
When does episcleritis resolve?
3 wks
How many episcleritis cases are bilateral?
50%
How does episcleritis appear?
looks bad, bright red spots, very vascular, localized conjuntivitis
What do you think if the pt has recurrent episcleritis?
underlying disease
What is some medications you can give pt w/ episcleritis?
artificial tears, Diclofenac opthalmic solution (NSAID), prednisolone acetate (steroid)
Does the sclera have vasculature?
no
What is scleritis associated with?
RA, polyangitis, IBD, SLE, HZ, HSV, HIV, lyme disease
What is the pain like in scleritis?
BORING, worse at night, radiates to periorbital region, worse with movement, impairs sleep, pain on palpitation
How do you differentiate scleritis from epi?
scleritis - TTP eyelid, purplish
What do you see with posterior scleritis?
nothing
How do you treat scleritis?
REFER OUT
What does episclera lie?
btw conjunctiva and sclera
What tests do you if you suspect systemic disease in episcleritis?
CBC, CMP, UA, ESR, CRP
