Episcleritis: Difference between revisions
(Created page with " ==Episcleritis== ===Background=== * Abrupt onset of inflammation in the episclera * 70% of cases occurs in women (usually young and middle-aged) * Usually a benign, self-limite...") |
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==Background== | |||
* Abrupt onset of inflammation in the episclera | * Abrupt onset of inflammation in the episclera | ||
* 70% of cases occurs in women (usually young and middle-aged) | * 70% of cases occurs in women (usually young and middle-aged) | ||
Revision as of 20:38, 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
Source
UpToDate