EPISCLERITIS

EPISCLERITIS

DEF-

• Benign inflamn of subconj connective tissue & superficial scleral lamella.
• Young adults
• Females
• H/O RA
• TYPES
• - Simple 
• -Nodular

C/F-

Symptoms

-UL
-Acute redness
-discomfort
-tenderness
-watering

Signs-
1.SIMPLE EPISCLERITIS-

A] Sectoral OR
B] Diffuse

• D/T engorgement of large episcleral Vs running in a radial dir beneath the conj
• Never ulcerate
• Cornea & uvea NOT involved
• May resolve or leave a slate coloured scar to which conj is adherent

2.NODULAR  EPISCLERITIS-

• Localized, raised , congested nodule
• Ant scleral surf is not raised
• Traversed by deeper episcleral Vs.So look purple & not red.

T/T-

1. Lubricants
2. Topical steroids
3. NSAIDs - T. Flurbiprofen 100mg tds
- OR t. Aspirin
- T. Indomethacin