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Episcleritis

Dongsheng Jiang, MS, MD and Juan Qiu, MD, PhD Reviewed 04/2024
 


BASICS

  • Episcleritis is irritation and inflammation of the episclera, a thin layer of vascular connective tissue between the conjunctiva and sclera.

  • Usually a benign self-limited condition, typically re...

DIAGNOSIS

  • Episcleritis is a clinical diagnosis.

  • Phenylephrine test (2):

    • It is used to differentiate episcleritis from scleritis.

    • Apply 10% phenylephrine drops.

      • Blanching = episcler...

TREATMENT

  • Simple episcleritis is usually self-limited (up to 21 days), can recur.

  • Nodular type can be prolonged and painful.

MEDICATION

Treatment for episcleritis typically consists of symptomatic relief...

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 and make a full...

REFERENCES

1
Daniel Diaz J, Sobol EK, Gritz DC. Treatment and management of scleral disorders. Surv Ophthalmol. 2016;61(6):702-717. doi: 10.1016/j.survophthal.2016.06.002. PMID: 27318032.
2
Miller JR, Ha...

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

  • Irritation and inflammation of the episclera, a thin layer of vascular connective tissue between the conjunctiva and sclera.

  • A benign, self-limited disorder, usually resolving within 3 ...

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