Scleritis & Episcleritis


Scleritis Episcleritis

Caused by vasculitis or connective tissue disorder

Diagnosis

  • Healthy 20-40 yo
  • Deeper sector involvement, w/violaceous hue to sclera
  • Very tender
  • Pain w/use of extraocular muscles
  • +/- decr vision
  • Differentiated from conjunctivitis by moving conjunctiva w/Q-tip
    • Vessels CANNOT be moved with a cotton swab
    • DO NOT blanch with topical phenylephrine (instill 1 gtt)

Treatment

  • Oral NSAIDs
  • Topical/Systemic Steroids
    • Prednisolone opth 1% Susp: 2 gtt in affected eye(s) qid

Disposition

  • Ophthalmology F/U

Diagnosis

  • Healthy 20-40 yo
  • Sector injection of eye
    • 360 deg involvement indicates conjunctivitis
  • Inflammatory, non-infectious
  • Differentiated from conjunctivitis by moving conjunctiva w/Q-tip
    • Vessels CAN be moved with a cotton swab
    • DO blanch with topical phenylephrine (instill 1 gtt)

Treatment

  • Self-limiting
  • Artificial tears
    • Tears Again Drops: 1-2 gtt in affected eye(s) pen
  • Topical & systemic NSAIDs
  • Topical Steroids:
    • Prednisolone opth 1% Susp: 2 gtt in affected eye(s) qid

Disposition

  • Ophthalmology F/U