Flashcards in 4 - Opth - Acute red eye - Episcleritis and Scleritis Deck (10):
what is episcleritis?
most common in?
inflammation of episclera below conjunctiva
most common in young women
may be bilateral
dull ache OR gritty/pin prick sensation, eye watering and photophobia
-localised redness in sector of eye
-translucent white infl nodule may be visible
Systemic disease associations --> IBD, RA, SLE
usually self limiting
NSAID/corticosteroid drops if severe
What is scleritis?
may progress to?
% of cases ass w/ systemic disease?
inflammation through whole thickness of sclera
may progress to necrosis and perforation in severe cases
50% ass w systemic disease
Systemic diseases commonly ass w/ scleritis
RA,SLE, Wegners granulomatosis,
Sx of scleritis?
severe boring eye pain, worse on movement
may radiate to brow and jaw
Signs of scleritis?
diffuse engorgement of scleral vessels -- mixed orientation of vessels
VA intially unaffected but may decrease