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Episcleritis and scleritis.

G E White

    Optometry Clinics : the Official Publication of the Prentice Society
    |January 1, 1991
    PubMed
    Summary
    This summary is machine-generated.

    Episcleritis typically resolves on its own, but severe cases may need topical steroids or NSAIAs. Scleritis, a painful eye inflammation, often links to systemic disease and requires aggressive treatment to prevent vision loss.

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    Area of Science:

    • Ophthalmology
    • Rheumatology

    Background:

    • Episcleritis and scleritis are common inflammatory eye conditions.
    • Primary care practitioners frequently encounter these disorders.

    Purpose of the Study:

    • To outline the clinical presentation and management of episcleritis and scleritis.
    • To highlight the association of scleritis with systemic diseases and its potential complications.

    Main Methods:

    • Review of clinical characteristics of episcleritis and scleritis.
    • Discussion of treatment strategies including topical steroids and NSAIAs.
    • Emphasis on the systemic associations and sequelae of scleritis.

    Main Results:

    • Episcleritis is generally self-limited, resolving within weeks.

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  • Severe episcleritis may necessitate topical steroids or NSAIAs.
  • Scleritis presents as painful, generalized eye inflammation, often systemic.
  • Necrotizing scleritis is severe, requiring NSAIAs and systemic steroids.
  • Scleritis complications include uveitis, glaucoma, cataract, and retinal detachment.

    • Conclusions:

    • Effective management of episcleritis and scleritis is crucial for preserving vision.
    • Recognizing systemic associations of scleritis is vital for comprehensive patient care.
    • Prompt and aggressive treatment, particularly for necrotizing scleritis, can mitigate severe outcomes.