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Episcleritis

Daniel John Schlegel, MD, MHA, Tamara K. Oser, MD and Sean M. Oser, MD, MPH Reviewed 06/2018
 


BASICS

  • Episcleritis is irritation and inflammation of the episclera, a thin layer of tissue covering the sclera. It is not an infection.

  • Episcleritis is the localized inflammation of the vascular conne...

DIAGNOSIS

Episcleritis is a clinical diagnosis (1,2)[C]. 

HISTORY

  • History should elicit potential causative factors, recurrence, or associated systemic disease (2)[C].

  • Pain is often absent; when present,...

TREATMENT

MEDICATION

Treatment for episcleritis typically consists of symptomatic relief. The goal is to suppress the inflammation, which will, in turn, relieve the discomfort or pain. In most cases, t...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Episcleritis is usually self-limited (up to 21 days) and does not typically require follow-up. 

PROGNOSIS

  • Most patients have no ocular complications.

  • Prognosis for e...

REFERENCES

1
1 Sainz de la Maza M, Molina N, Gonzalez-Gonzalez LA, et al. Clinical characteristics of a large cohort of patients with scleritis and episcleritis. Ophthalmology.  2012;119(1):43–50....

ADDITIONAL READING

Daniel Diaz J, Sobol EK, Gritz DC. Treatment and management of scleral disorders. Surv Ophthalmol.  2016;61(6):702–717. {L-End} {L-End} [View Abstract on OvidMedline] 

CODES

ICD10

  • H15.109 Unspecified episcleritis, unspecified eye

  • H15.129 Nodular episcleritis, unspecified eye

  • H15.102 Unspecified episcleritis, left eye

  • H15.101 Unspecified episcleritis, right eye

  • H15.103 Un...

CLINICAL PEARLS

  • Episcleritis typically is a benign, self-limited disorder.

  • Often not painful and presents without decrease in visual acuity

  • Although treatment is often not needed, when employed, the goa...

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