Episcleritis is a self-limiting, benign inflammation of the episclera.
Diffuse episcleritis: Episcleritis maybe localised to a sector of the globe in most cases (Fig.
7) Three groups of ocular inflammation were found among the 23 patients: anterior uveitis, episcleritis and scleritis, and nonspecific conjunctivitis.
Episcleritis and scleritis, if untreated, can result in serious, permanent eye damage.
Episcleritis is a mild form of superficial ocular inflammation which is usually idiopathic and not associated with involvement of other ocular structures.
Simple episcleritis usually resolves without treatment within three weeks and therefore, no referral is required.
b) Nccrotising episcleritis
since avascular areas can be seen
These include cases of chronic allergic conjunctivitis unresponsive to routine treatments (OT, November 12 2010), advanced presentations of VKC (again unresponsive to mast cell stabilizer treatments), ocular rosacea, episcleritis
(of various aetiologies) and, of course, intraocular inflammations of the anterior segment associated with the iris and anterior uvea.
There have also been case reports of biphosphonate-induced episcleritis
Cases covered will include recurrent erosion syndrome, episcleritis
and allergic conjunctivitis.
In the majority of cases, episcleritis
shows itself as a focal patch of redness, but when it is diffuse it can be difficult to distinguish from iritis.
: Patients suffering from episcleritis
are often asymptomatic or may describe a discomfort more then pain.