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

Anterior Scleritis

Signs & Symptoms

 Scleral edema
Note: Diffuse anterior scleritis
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] BCSC [ 117,119]
Pain without response to common analgesics
Ref: Vaughan [ 377]
Pain worsens at early morning
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] Vaughan [ 377]
Pain radiates to the face
Note: due to Involvement of the fifth cranial nerve
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] Vaughan [ 377] BCSC [ 117]

Physical Examination

 Swollen sclera
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] BCSC [ 115,119]
Scleral infiltration
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

 Anterior uveitis
Note: More common in the necrotizing forms of the disease
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] Vaughan [ 379]
Irreversible loss of vision
Note: due to Corneal melting
Ref: Uptodate [ Clinical manifestations and diagnosis of scleritis] Vaughan [ 380]
Corneal melting
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