Summary
Summary Management of inflammation of the eye
- Module
- Optometry (B510)
- Institution
- Glasgow Caledonian University (GCU)
Complete notes on ocular inflammation
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Management of Inflammatory eye diseaseThe Sclera and Episcelra
Scleritis
What is it? Severe, vision threatening inflammation of the
sclera
Signs non nec
Diffuse- without a nodule
Nodular – fixed nodule
Hyperaemia richer darker
Possible AC activity
Causes Local infection
Injury
Fungus
parasite
Symptoms Pain/tearing/photphobia/ocular
tenderness
Decreased VA
Severe penetrating pain that leads to
forehead, brow, jaw and sinus
Blurred vision
Gradual onset
Previous hx
OFTEN MIS DIAGNOSED WITH CONJUNCTIVITIS
Diagnosis Redness does not blache after topical treatment
, Perform full eye exam and refer for systemic
work
Can cause Glaucoma/Keratitis/Uveitis/Cataract
Ultrasound/CT
Prognosis/Treatment Prog depends on underlying disease
Chronic versus episodic
Treatment usually requires ora;
immunosuppression combined with
aggressive topical steroids
Anti -inflammatory drugs
Rare for surgery
*Anterior Sceritis = Diffuse/nodular/necrotizing with red and
painful eyes. Vision can also be affected*
Episcleritis
*similar to sclertitis but redness goes away when using drops*
Facts Most cases are idiopathic (no reason for it)
Diffuse v Nodular
Nodular prolonged and painful
Diffuse = more common (84%) than nodular
Mean age = 47 years
Prognosis Good
Self limiting
Injection in epi blanches with instillation of 10% phenylephrine opthalic drops
Can cause Uveitis
Clinical Diagnosis
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