4 - Opth - Acute red eye - Episcleritis and Scleritis Flashcards Preview

CP2 > 4 - Opth - Acute red eye - Episcleritis and Scleritis > Flashcards

Flashcards in 4 - Opth - Acute red eye - Episcleritis and Scleritis Deck (10):
1

what is episcleritis?
often what?
most common in?
may be..?

inflammation of episclera below conjunctiva
often recurrent
most common in young women
may be bilateral

2

Sx episcleritits

acute onset
often aSx
dull ache OR gritty/pin prick sensation, eye watering and photophobia

3

Signs Episcleritis

-localised redness in sector of eye
-translucent white infl nodule may be visible
-VA unaffected

4

Causes episcleritis

idiopathic 70%
Systemic disease associations --> IBD, RA, SLE

5

Mgmt episcleritis

usually self limiting
artificial tears

NSAID/corticosteroid drops if severe

6

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

7

Systemic diseases commonly ass w/ scleritis

RA,SLE, Wegners granulomatosis,
infections (rarely)

8

Sx of scleritis?

severe boring eye pain, worse on movement

may radiate to brow and jaw

gradual onset

9

Signs of scleritis?

diffuse engorgement of scleral vessels -- mixed orientation of vessels
globe tender
no discharge
VA intially unaffected but may decrease

10

Mgmt of scleritis

Oral/topical NSAIDS/corticosteroids

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