Episcleritis

Episcleritis is an inflammation (irritation and swelling) of the episclera, a membrane covering the sclera of the eye. The eye's red aspect makes it look similar to conjunctivitis, or pink eye, but there is no discharge or tearing. In most cases, a distinct segment of the usual "white of the eye" becomes intensely red. Less commonly, the episcleritis is diffuse in complexion and much of the "front" of the eye becomes red. One warning: doctors, including ophthalmologists, can misscall a patient's Eye inflammation, calling it Episcleritis when it is Scleritis. It matters formidably, since true Scleritis, as opposed to Episcleritis, is associated with an underlying disorder about 70% of the time, and Scleritis can produce serious damage to the Eye; Episcleritis never does Rosacea, herpes simplex, gout, tuberculosis, and other diseases are also occasionally underlying causes. Patients having nodular episcleritis have prolonged attacks of inflammation that are typically more painful than simple episcleritis. Treatment is somewhat contentional but most ophthalmologists will prescribe an oral non-steroidal anti-inflammatory agent, perhaps as the only treatment. Many patients with nodular episcleritis have an associated systemic disease.

Localised, self limiting inflammation of the episclera (connective tissue overlying the sclera). Episcleritis is an inflammatory condition of the connective tissue between the conjunctiva and sclera known as the episclera. It usually has no superficial cause; however, it is sometimes associated with systemic inflammatory conditions such as arthritis, lupus, and inflammatory bowel disease. Some patients notice that episodes are more common in the spring or fall. A minute percentage of patients will have rheumatoid arthritis or other collagen vascular diseases (e.g., systemic lupus erythematosus, polyarteritis nodosa, or Wegener's granulomatosis). The episodes normally last 7-10 days, and most resolve after 2-3 weeks. Persistent episodes may be more common in patients with associated systemic conditions. By adjoining thousands of connections between signs, symptoms, risk factors, conditions and treatments. The AnalystT will help to build an veracious picture of your current health status, the risks you are running and courses of action (including appropriate lab testing) that should be considered.

Causes of Episcleritis

The common causes of Episcleritis :

Rheumatoid arthritis
Systemic lupus erythematosus
Polyarteritis nodosa
Bacteria, including tuberculosis, Lyme disease, and syphilis
Viruses, including herpes
Necrobiotic xanthogranuloma
Progressive hemifacial atrophy
Episcleritis is usually mild and rarely progresses to scleritis .
The cause is usually unknown, but certain diseases such as rheumatoid arthritis, Sjogren's syndrome, syphilis, herpes zoster, and tuberculosis have been associated with episcleritis
Oculovestibuloauditory syndrome
Behcet's disease
blepharitis dandruff like substance on the eyelids which disrupts tears
conjunctivitis (often accompanied by itching or redness)

Symptoms of Episcleritis

Some common Symptoms of Episcleritis :

A pink or purple coloration to the normally white part of the eye .
Eye pain .
Sensitivity to light .
Eye tenderness .
Tearing of the eye.
Redness.
Mild irritation.
A symptom is a phenomenon that is experienced by an individual. Anxiety, lower back pain, and fatigue are all symptoms.

Treatment of Episcleritis

Use of supportive
Regular lubricating drops
Treatment of any associated disorders
Opthalmic referral if does not resolve
The inflammation usually disappears without treatment in 1 to 2 weeks.
Treatment with corticosteroid eye drops may shorten the duration of the symptoms.
If there is no response to flurbiprofen, indomethacin 100 mg daily and decreased to 75 mg when there is a response should be used.
Many patients who do not respond to one nonsteroidal anti-inflammatory agent (NSAID) may respond to another NSAID.

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