Episcleritis
..
This is an autoimmune
disorder of unknown cause although some patients have a history of autoimmune
disorders such as rheumatoid arthritis.
Presentation:
-
Localised patch of redness on the eye
white with little discomfort
Examination:
-
The visual acuity is normal
-
Localised area of conjunctival injection
and the underlying episclera
-
No discharge
Management:
-
This condition is self-limiting
-
If there is no discomfort, no treatment
is needed. The condition resolves within two weeks
and recurrence is common.
-
If the patient complains of discomfort
or if the problem fails to resolve spontaneously, refer
the patient in the same week. Topical
mild steroid may be needed
|
Figure 1.
This patient presents with a one-week
history of right ocular discomfort and redness
on the nasal side of the conjunctiva.The
localized nature of the redness is typical
of episcleritis. She responded well
with topical mild steroid and the condition resolves
within one week. |
Return
to the red eye |
|