/ /

  • linkedin
  • Increase Font
  • Sharebar

    Early intervention considered key in diagnosis and treatment of scleritis

    Collaboration with rheumatologists key if biologics used for this sight-threatening disease

     

    Pain is a distinguishing factor between scleritis and episcleritis, Dr. de Luise said.

    “If there is pain, consider scleritis; if it’s just itching, consider episcleritis,” he said.

    Click to read more clinical diagnosis news

    In an examination under natural light, patients with scleritis will have a bluish-red discoloration in the area with scleritis. Using neosynephrine 2.5%, vessels will blanch with episcleritis but not scleritis.

    Ocular sequelae for scleritis include cataract, glaucoma, uveitis, and peripheral ulcerative keratitis.

    Laboratory testing can help identify the type of scleritis, Dr. de Luise said.

    Depending on the history, testing should include rheumatoid factor, anti-nuclear antibodies, human leukocyte antigen, anti-neutrophilic cycloplasmic antibodies, and tests for tuberculosis, Lyme disease, sarcoidosis, and gout. Imaging tests include CXR, B-scan, sinus films, and CT or MRI tests.

    Next: Treatment strategies

    New Call-to-action

    0 Comments

    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available

    Poll

    View Results