Episcleritis: Difference between revisions
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==Work-Up== | ==Work-Up== | ||
* Must distinguish from scleritis | * Must distinguish from [[scleritis]] | ||
** Phenylephrine drops lead to transient resolution of episcleral redness permitting evaluation of the sclera | ** Phenylephrine drops lead to transient resolution of episcleral redness permitting evaluation of the sclera | ||
* Must distinguish from conjunctivitis | * Must distinguish from conjunctivitis | ||
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==DDx== | ==DDx== | ||
#Scleritis | #[[Scleritis]] | ||
#Conjunctivitis | #Conjunctivitis | ||
#Herpes Keratitis | #Herpes Keratitis | ||
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==Disposition== | ==Disposition== | ||
Refer to ophtho to reduce chance of misdiagnosis | Refer to ophtho to reduce chance of misdiagnosis | ||
==See Also== | |||
[[Scleritis]] | |||
==Source== | ==Source== | ||
Revision as of 20:41, 14 July 2011
Background
- Abrupt onset of inflammation in the episclera
- 70% of cases occurs in women (usually young and middle-aged)
- Usually a benign, self-limited condition
- Usually not associated with an underlying disease
Diagnosis
- History
- Abrupt onset of redness, irritation, and watering of the eye
- Pain is unusual
- Vision unaffected
- 50% of cases are bilateral
- Physical
- Vasodilatation of the superficial episcleral vessels
Work-Up
- Must distinguish from scleritis
- Phenylephrine drops lead to transient resolution of episcleral redness permitting evaluation of the sclera
- Must distinguish from conjunctivitis
- If the conjunctival injection is localized rather than diffuse, episcleritis is more likely
DDx
- Scleritis
- Conjunctivitis
- Herpes Keratitis
Treatment
- Topical lubricants
- Artificial tears q4-6hr
Disposition
Refer to ophtho to reduce chance of misdiagnosis
See Also
Source
UpToDate