EPISCLERITIS

INFLAMMATION OF EPISCLERA

SYMPTOMS

PAIN

REDNESS

SWELLING

LOSS OF FUNCTION (USUALLY THERE IS NO LOSS OF VSION OR FUNCTION IN EPISCLERITIS

SIGNS

TENDERNESS

CONGESTION

EDEMA

REDUCED VISION (NOT IN EPISCLERITIS)

USUALLY THERE IS NO INVESTIGATION DONE IN EPISCLERITIS

BUT IF NODULAR, OR NOT IMPROVING OR RECURRENT   THEN INVESTIGATE AS PER SCLERITIS

BASELINE :

1.  CBC

2. ESR

3. X-RAY CHEST

CONFIRM YOUR DIAGNOSIS

1. RA->RA FACTOR

2. TB->MOUNTEX TEST

3. SYPHILIS-> VDRL,  FTA ABS

4. SARCOIDOSIS-> SERUM ACE

5. GOUT -> SERUM ACE

PTERYGIUM

PINGUCULAE

SCLERITIS

GALUCOMA

CONJUNCTIVITS

SUBCONJUNCTIVAL HEMORRAGE

UVEITIS

KERATITIS

FOREIGN BODY

BLEPHARITIS

TREAT THE CAUSE

FOR EXAMPLE RHEUMATOID ARTHERITIS 

TREAT SYMTPOMS

PAIN KILLERS

ANTI-INFLAMMATORY AGENTS

NON-STEROID

TOPICAL

NEPAFENAC EYE DROPS

ORAL

BRUFEN  TABLETS 

STEROIDS

TOPICAL 

MILD STEROIDS LIKE FLOUROMETHALONE EYE DROPS 

OR

POTENT STEROIDS LIKE PREDNISOLONE EYE DROPS

ORAL

TABLET PREDNISONE 

TREAT COMPLICATIONS

EPISCLERITIS

1. LESS PAIN 

2. LESS REDNESS

3. LESS SWELLING

4. NO VISUAL LOSS

5. NO COMPLICATIONS

6. NO BLUISH COLOR ON LESION

7. BLANCH WITH 10 % PHENYLEPHRINE (VASOCONSTRICTOR) EYE DROPS

SCLERITIS

1. MORE PAIN

2. MORE REDNESS

3. MORE SWELLING

4. VISUAL LOSS 

5. COMPLICATIONS 

6. BLUISH COLOR ON LESION

7. DOES NOT BLANCH WITH 10 % PHENYLEPHRINE (VASOCONSTRICTOR) EYE DROPS

SIMPLE OR DIFFUSE

NODULAR