Episcleritis
Overview
Episcleritis is an
inflammatory condition of the connective tissue between the
conjunctiva
and sclera
known as the episclera. The eye's red appearance makes it look
similar to conjunctivitis, or pink
eye, but there is no discharge or tearing. It usually has no
apparent cause; however, it is sometimes associated with systemic
inflammatory conditions such as arthritis, lupus, and inflammatory
bowel disease. Rosacea, herpes simplex, gout, tuberculosis,
and other diseases are also occasionally underlying causes.
Women are typically
affected by episcleritis more frequently than men. It
characteristically occurs in people who are in their 30's and 40's
and is often a recurrent problem.
Signs and Symptoms
Detection and Diagnosis
Episcleritis is
diagnosed with a slit lamp
examination. The doctor will look for discharge, pain, and
involvement of the underlying scleral to rule out other problems.
Treatment
Treatment for
episcleritis is usually not needed. Chilled artificial tears
can be used to soothe the eye and reduce mild inflammation. In
more severe cases of episcleritis, mild steroids and
anti-inflammatory medications are prescribed to reduce inflammation.
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