Scleritis/episcleritis Flashcards
1
Q
What are the features of scleritis?
A
PainFUL, red eye
Watering
Photophobia
Gradual decrease in vision
2
Q
What are the features of Episcleritis?
A
PainLESS, red eye
Watering
Mild photophobia
In Episcleritis, injected vessels are mobile when gentle pressure is applied on sclera, unlike scleritis where vessels are deeper and do not move
3
Q
What drops can be used to differentiate between scleritis and Episcleritis?
A
Phenylephrine drops:
Phenylephrine blanches the conjunctival and episcleral vessels but not the scleral vessels. Therefore, if redness of eye improves after phenylephrine, a diagnosis of Episcleritis can be made
