Skip to main content

Scleritis

Nioti R Karim, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Scleritis is a painful, inflammatory process of the sclera, part of the eye’s outer coat.

    • Categorized into anterior or posterior and diffuse, nodular, or necrotizing

    • Commonly associate...

DIAGNOSIS

HISTORY

  • Redness and inflammation of the sclera

    • Can be bilateral in about 40% of cases (1)

  • Photophobia and tearing

  • Pain ranging from mild discomfort to extreme localized tenderness

    • May be describ...

TREATMENT

GENERAL MEASURES

If scleral thinning, glasses/eye shield should be worn to prevent perforation; should be managed by an appropriate eye care professional 

MEDICATION

First-line therapies for no...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Avoid contact lenses—wear only if there is corneal involvement, which is rare. 

Patient Monitoring

  • Patient in the active stage of inflammation should be followed ve...

REFERENCES

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....

CODES

ICD10

  • H15.009 Unspecified scleritis, unspecified eye

  • H15.019 Anterior scleritis, unspecified eye

  • H15.039 Posterior scleritis, unspecified eye

  • H15.099 Other scleritis, unspecified eye

  • H15.059 Scleroma...

CLINICAL PEARLS

  • Episcleritis is a self-limited inflammation of the eye with mild discomfort.

  • Scleritis is a painful, severe, and potentially vision-threatening condition.

  • While both conditions can be as...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×