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IN THE NAME OF ALLAH WHO IS MOST MERCIFUL AND GRACIOUS
CLINICAL FEATURES
CLINICAL FEATURES
SYMPTOMS
PAIN (TEARS)
REDNESS
SWELLING
LOSS OF FUNCTION
SIGNS
TENDERNESS (LACRIMATION)
CONGESTION
EDEMA
VISUAL LOSS
DIFFERENTIAL DIAGNOSIS
DIFFERENTIAL DIAGNOSIS
GLAUCOMA
UVEITIS
KERATITIS
CONJUNCTIVITIS
INVESTIGATIONS
INVESTIGATIONS
BASELINE :
BASELINE :
CBC
ESR
X-RAY CHEST
CONFIRM YOUR DIAGNOSIS
CONFIRM YOUR DIAGNOSIS
RA->RA FACTOR
TB->MOUNTEX TEST
SYPHILIS-> VDRL, FTA ABS
SARCOIDOSIS-> SERUM ACE
GOUT -> SERUM ACE
TREATMENT
TREATMENT
TREAT THE CAUSE
TREAT THE CAUSE
FOR EXAMPLE RHEUMATOID ARTHERITIS
TREAT SYMTPOMS
TREAT SYMTPOMS
PAIN KILLERS
ANTI-INFLAMMATORY AGENTS
NON-STEROID
TOPICAL
NEPAFENAC EYE DROPS
ORAL
IBUPROFEN TABLETS
STEROIDS
TOPICAL
MILD STEROIDS LIKE FLOUROMETHALONE EYE DROPS
POTENT STEROIDS LIKE PREDNISOLONE EYE DROPS
ORAL
TABLET PREDNISONE
TREAT COMPLICATIONS
TREAT COMPLICATIONS
FOR EXAMPLE UVEITS
COMPLICATIONS
COMPLICATIONS
GLAUCOMA
UVIETIS
KERATITIS
CATARACT
DIFFERENCE BETWEEN EPISCLERITIS AND SCLERITIS
DIFFERENCE BETWEEN EPISCLERITIS AND SCLERITIS
EPISCLERITIS
EPISCLERITIS
LESS PAIN
LESS REDNESS
LESS SWELLING
NO VISUAL LOSS
NO COMPLICATIONS
SCLERITIS
SCLERITIS
MORE PAIN
MORE REDNESS
MORE SWELLING
MORE VISUAL LOSS
COMPLICATIONS INCLUDE UVEITIS, KERATITIS, GLAUCOMA, SCLERAL THINNING MAY LEAD TO PERFORATION
TYPES OF EPISCLERITIS
TYPES OF EPISCLERITIS
Simple or diffuse
Nodular
TYPES OR CLASSIFICATION OF SCLERITIS
TYPES OR CLASSIFICATION OF SCLERITIS
I. Anterior scleritis
• Nodular
• Diffuse
• Necrotizing
– With inflammation
– Without inflammation
II. Posterior scleritis
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