Episcleritis Flashcards
All of the following are true about episceleritis except; Self limiting Recurs often Causes scleritis Associated with systemic dz
Causes scleritis it not TRUE.
Episcleritis DOES NOT CAUSE SCLERITIS.
Which statement is false:
A. Simple episcleritis is more common than modular
B. Nodular episcleritis is associated with systemic dz and simple is assciated with idiopathic etiology.
C. Simple episcleritis is more symptomatic than nodular
C. Vice versa
Nodular episcleritis also lasts longer.
Nodular episcleritis is tender and mobile
T/F vision is never affected with episcleritis.
True!!!
One of the important signs of episcleritis is hypermedia is often sectorial, and often within …
Palpebral fissure.
List in order from most superficial vessels to inferior
Conjunctival, sclera, or episcleral
Name colors
Conjunct (light red) to episclera(deep red when inflammed) to sclera (deep purple)
2/3 of episcleritis is idiopathetic.
Yep!!
2.5 % phenyephrine is used to determine if the episcleral vessels are going to blanch.
The conjunctiva will blanch like nothing there at all
Episcleral vessels will get better in redness
Sclera vessels will remain same.
Scleritis is more painful than episcleritis. T/f
True
Scleritis goes away on its own .
It is also more common .
False.
The most common type of anterior scleritis is Diffuse Nodular Necrotizing with inflammation Necrotizing w/o
Diffuse
Anterior necrotizing w/ inflammation is VERY painful and you may get perforation. True / false
True
Necrotizing WITHOUT INFLAMMATION is most asociated with RA, has melting of episcleral and sclera tissue.
They will have a high mortality due to systemic due
Symptomatic
T/f
FALSE. N W/O INFLAMMATION IS ASYMPTOMATIC
Posterior scleritis is usually bilateral . T/ f
FALSE. It is unilateral. It’s an exception to the rule of either.
Posterior scleritis.
Means you have flattening of posterior aspect of globe; thickening of posterior choroid and scleral retrobulbar edema; POTENTIALLY BLINDING
TOPICAL DRUGS ARE NOT HELPFUL IN ANTERIOR SCLERTITIS.
Trueeeeee!!!!
Never use a topical agent at the level of sclera.
Use a oral nsaid like naproxen, ibuprofen, indomethycin.
And oral steroid
