Episcleritis
Symptoms:
- NO photophobia, NO eye pain
- Hyperemia limited to specific area of the globe
Diagnosis: Use slit lamp to distinguish episcleritis vs. nodular scleritis
Scleritis vs. Episcleritis
Scleritis
Symptoms:
- Photophobia, severe eye pain, deep ache that interferes with sleep
- Corneal abrasion can cause scleritis
- Women 30-50 with rheumatologic disorder
Diagnosis: Use slit lamp to look for blue-violet hue
Episcleritis Treatment
Usually idiopathic and non vision threatening
- Lubricating eye drops
- Topical steroids
- Topical vasoconstrictors
Scleritis treatment
Risk of vision loss related to severity
- NSAIDs
- Topical steroids