CLINICAL APPROACH TO THE RED EYE

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Scleritis/Episcleritis:

Both uncommon conditions, may occur in association with autoimmune or inflammatory conditions (e.g. RA, Wegeners, SLE, PAN or Herpes Zoster).

Differences:

Scleritis
Episcleritis
Commonly affects in 4th to 6th decade

 

Commonly affects young adults

 

Pain is deep and boring
 
May have photophobia
 
No blanching with phenylephrine
Phenylephrine 2.5% eye drops causes blanching
Can lead to retinal detachment
Benign and Self-Limited

 

Episcleritis [below]

 

 

 

 

 

 

Scleritis [below]

 

 

 

 

 

 

 

 

Treatment

bulletIdentification of underlying disease (if not already done so)
bulletMild & non-recurrent episcleritis can be treated symptomatically (artificial tears) and will resolve over 1-2 weeks
bulletRecurrent or severe episcleritis and ALL scleritis should be managed by opthalmologist

Continue to: Corneal Abrasion

 

 

 

 

 

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Last updated: 03/16/06.