Definition of
Episcleritis and Scleritis
Episcleritis is an inflammation of the Episcleral, which is the thin layer of tissue between the conjunctiva and the sclera (white part of the eye). It is a relatively mild condition that usually resolves on its own within a few weeks.
Scleritis is a more severe and potentially serious inflammation of the sclera. It can cause significant eye pain, redness, and vision problems. Scleritis is often associated with underlying autoimmune diseases and requires medical treatment.
risk factors for
Episcleritis and Scleritis
- Autoimmune disorders
- Infections
- Trauma
- Environmental factors
- Allergic reactions
- Unknown causes
symptoms of Episcleritis
Eye redness
The affected eye may appear red or pink due to inflammation in the episclera, which is the thin layer of tissue between the white of the eye (sclera) and the clear outer covering (conjunctiva).
Eye pain or discomfort
Some individuals may experience mild to moderate pain or discomfort in the affected eye. The pain is typically described as a dull ache or irritation.
Tearing or watery eyes:
Episcleritis can cause excessive tearing or watery eyes.
sensitivity to light
Episcleritis can make the eye more sensitive to light, causing discomfort in bright environments.
Foreign body sensation
Some people may feel as if there is a foreign object, such as sand or grit, in their eye.
No changes in vision
Episcleritis typically does not affect vision, and individuals usually maintain normal visual acuity.
symptoms of Scleritis
Severe eye redness
Scleritis causes intense redness in the eye, often extending beyond the area affected by episcleritis. The redness may be described as a deep purple or bluish hue.
Severe eye pain
Scleritis is known for causing severe, throbbing, or deep eye pain that can be constant or intermittent. The pain may worsen with eye movement or pressure.
Blurred or decreased vision:
Scleritis can affect vision, causing blurred vision or a decrease in visual acuity.
Photophobia
Individuals with scleritis may experience extreme sensitivity to light, leading to discomfort in brightly lit environments.
Tearing or watery eyes
Similar to episcleritis, scleritis can also cause excessive tearing or watery eyes.
Headaches
Scleritis can be associated with headaches, particularly around the affected eye.
It is important to note that while these factors are commonly associated with episcleritis and scleritis, they may not be present in all cases. A thorough examination by an eye care professional is necessary to determine the underlying cause and appropriate treatment for these conditions.
treatment types
Anti-inflammatory Medications
Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids may be prescribed to reduce inflammation and alleviate symptoms.
Immunosuppressive Medications:
In severe or recurrent cases, medications that suppress the immune system may be necessary to control inflammation.
Artificial Tears
Lubricating eye drops or ointments can provide relief from dryness and irritation associated with episcleritis and scleritis.
Management of Underlying Conditions
Treating any underlying systemic conditions, such as rheumatoid arthritis or vasculitis, is crucial to effectively manage scleritis.
Close Monitoring and Follow-up
Regular monitoring and follow-up appointments with your eye care specialist are important to ensure the condition is properly managed and any changes are addressed promptly.
Episcleritis and scleritis are two conditions characterized by inflammation of the eye’s outer layer. Understanding these conditions, their symptoms, and available treatment options is essential for maintaining ocular health. If you are experiencing symptoms of eye inflammation, our experienced team is here to provide expert care and tailored treatment solutions.
Frequently Asked Questions
What is episcleritis?
Episcleritis is an inflammation of the Episcleral, which is the thin layer of tissue between the conjunctiva and the sclera (white part of the eye). It is a relatively mild condition that usually resolves on its own within a few weeks.
What is scleritis?
Scleritis is a more severe and potentially serious inflammation of the sclera. It can cause significant eye pain, redness, and vision problems. Scleritis is often associated with underlying autoimmune diseases and requires medical treatment.
What are the symptoms of episcleritis?
Common symptoms of episcleritis include redness of the eye, mild discomfort or irritation, and a feeling of grittiness. It typically affects only one eye and does not usually cause vision problems.
What are the symptoms of scleritis?
Scleritis symptoms may include severe eye pain, redness and swelling of the eye, sensitivity to light, blurry vision, and tearing. The pain associated with scleritis can be deep and throbbing, often worse at night.
What causes episcleritis and scleritis?
The exact cause of episcleritis and scleritis is unknown, but they are believed to be related to an abnormal immune response. Episcleritis is often associated with certain systemic conditions like rheumatoid arthritis, while scleritis is commonly associated with autoimmune diseases such as rheumatoid arthritis, lupus, and vasculitis.
How are episcleritis and scleritis diagnosed?
Diagnosis is typically made through a comprehensive eye examination, including a thorough medical history and evaluation of symptoms. Additional tests, such as blood tests or a biopsy of the affected tissue, may be performed to identify any underlying conditions.
How are episcleritis and scleritis treated?
Episcleritis usually resolves on its own and may only require symptomatic relief, such as using artificial tears or applying cold compresses. Scleritis, on the other hand, often requires medical treatment with anti-inflammatory medications, such as corticosteroids or non-steroidal anti-inflammatory drugs (NSAIDs). In some cases, immunosuppressive drugs may be prescribed to manage underlying autoimmune conditions.
Can episcleritis or scleritis cause permanent damage to the eyes?
While episcleritis typically does not cause permanent damage, scleritis can lead to complications and potential vision loss if left untreated. It is important to seek medical attention if you suspect you have scleritis to prevent any long-term consequences.
SCHEDULE YOUR APPOINTMENT TODAY!
Contact Santa Monica Eye Medical Group today to schedule your consultation. Our skilled team is committed to helping you achieve your aesthetic goals with personalized care and exceptional results