episcleritis

Question 1

what is episcleritis?

Answer 1

benign and self limiting inflammation of episclera

Question 2

which age group is episceleritis most common in?

Answer 2

young and middle aged adults

Question 3

what is episcleritis associated with?

Answer 3

inflam conditions
RA, inflam BD

Question 4

how does episcleritis present?

Answer 4

acute onset unilateral features
localised or diffuse redness - patch of red on outer sclera
NO Pain
dilated episclera veins

Question 5

how can you distinguish between scleritis and episcleritis?

Answer 5

scler- photophobia, discharge, redcued visual acuity
phenylephrine eye drops - no affect

epi- mp photophobia, no pain
phyenlephrine eye drops - cause blanching of episcleritc vessels

Question 6

how do you manage episceleritis?

Answer 6

self limiting
resolves in 1-2 weeks
might want analgesia/ ;lubricating eye drops

Question 7

how would you manage severe episcleritis?

Answer 7

steroid eye drops