Supporting Hours : Monday to Saturday - 8am to 10pm
New Visit

Scleritis

 Syn. Inflammation of white of eye , Inflammation of sclera

Signs & Symptoms

 Pain without response to common analgesics
Ref: Vaughan [ 377]
Severe eye pain
Note: Most commonly in diffuse and nodular anterior scleritis
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] Vaughan [ 376-377] BCSC [ 115,117,123]
Pain worsens at early morning
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] Vaughan [ 377]
Constant eye pain
Note: Most commonly in diffuse and nodular anterior scleritis
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] Vaughan [ 376-377] BCSC [ 115,117,123]

Physical Examination

 Hypertropia
Note: due to Involvement of extraocular muscles
Ref: Vaughan [ 380]
Swollen sclera
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] BCSC [ 115,119]
Tenderness over the inflamed eye
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] BCSC [ 123]

Lab / Serology

Imagin Study

Complication

 Corneal melting
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis]
Irreversible loss of vision
Note: due to Corneal melting
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] Vaughan [ 380]
Cataract
Note: 20% in necrotizing scleritis and less in other subtypes of scleritis
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis]

Risk Factors

 Female
Ref: BCSC [ 117,119]

Cause

 Sarcoidosis
Ref: Vaughan [ 377]
Irradiation
Ref: Vaughan [ 377]
History of systemic inflammatory illness
Note: Rheumatoid arthritis is the most common,also rarely occur in patients with granulomatosis with polyangiitis (Wegener's)
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] Vaughan [ 376] BCSC [ 115,119]

Other