Scleritis
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Scleritis | |
|---|---|
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Severe eye pain, redness, tearing, photophobia |
| Complications | Vision loss, glaucoma, cataract |
| Onset | Typically between ages 30-60 |
| Duration | Can be chronic or recurrent |
| Types | N/A |
| Causes | Often associated with autoimmune diseases such as rheumatoid arthritis, Wegener's granulomatosis, lupus |
| Risks | Autoimmune disorders, previous eye surgery, infections |
| Diagnosis | Clinical examination, slit lamp examination, imaging studies |
| Differential diagnosis | Episcleritis, conjunctivitis, keratitis |
| Prevention | N/A |
| Treatment | Corticosteroids, immunosuppressive drugs, nonsteroidal anti-inflammatory drugs |
| Medication | Prednisone, methotrexate, cyclophosphamide |
| Prognosis | N/A |
| Frequency | Rare |
| Deaths | Rarely life-threatening, but can lead to severe complications |
Scleritis is a serious inflammation of the sclera, the white outer coating of the eye. It is often associated with underlying autoimmune diseases and can lead to permanent vision loss if not treated promptly.
Causes
Scleritis is often associated with systemic autoimmune diseases such as rheumatoid arthritis, lupus, and vasculitis. It can also be caused by infection, trauma, or exposure to certain chemicals or medications.
Symptoms
The main symptom of scleritis is severe, constant pain in the eye that often radiates to the face or head. Other symptoms can include redness, blurred vision, sensitivity to light, and a feeling of pressure in the eye.
Diagnosis
Diagnosis of scleritis is usually made based on the patient's symptoms and a physical examination of the eye. Additional tests, such as blood tests, imaging studies, and a biopsy of the sclera, may be needed to confirm the diagnosis and identify any underlying conditions.
Treatment
Treatment for scleritis usually involves corticosteroid medications to reduce inflammation and pain. In severe cases, other types of immunosuppressive therapy may be needed. If an underlying condition is identified, treatment for that condition is also necessary.
Prognosis
With prompt and appropriate treatment, most people with scleritis can achieve good control of their symptoms and prevent serious complications. However, scleritis can be a chronic condition that requires ongoing management.
See also
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Contributors: Prab R. Tumpati, MD