Anterior Necrotizing Scleritis with Inflamamtion

Question 1

Define

Answer 1

Severe form of anterior scleritis with associated necrosis.

Much more severe form of scleritis.

Question 2

Etiology

Answer 2

Collagen vascular disease

Systemic infection

Question 3

Symptoms

Answer 3

Red eyes and EXTREME pain.

Awakens patient at night, radiates to other parts of face, worsens during eye movement, may have tearing.

Question 4

Signs

Answer 4

Anterior scleritis progresses to isolated patches of scleral edema with overlying non perfused episclera and conj. Appears white!! This is a big red flag. white, pearly, opaque.

They can rapidly coalesce and proceed to progressive scleral necrosis. This appears blue-grey.

Question 5

Complications

Answer 5

Inflammation of adjacent K (peripheral keratitis)
Glaucoma
Scleral perforation

Question 6

management

Answer 6

Prob better to get help with this. Refer.

Non infections:
Oral steroids
IV steroids
Oral immunosuppressive
Recommend glasses or eye shield for protection.
Surgery possibly if scleral perforation occurs (scleral patch graft)

Question 7

If associated with RA, it is also associated with increased

Answer 7

Mortality due to coronary arteritis or cerebral angitis.