Scleritis

Scleritis is a deep, painful inflammation of the sclera, often associated with systemic autoimmune disease (rheumatoid arthritis, granulomatosis with polyangiitis, lupus). Clinical: severe deep boring eye pain, photophobia, violaceous scleral injection, reduced vision; may cause scleral thinning/perforation. Treatment: systemic NSAIDs and corticosteroids; immunosuppressive agents for necrotizing/severe disease; investigate and treat underlying systemic vasculitis.

Common Symptoms

Severe deep boring eye pain; violaceous scleral injection; photophobia; reduced vision; systemic autoimmune features

Causes and Pathogenesis

Autoimmune vasculitic inflammation involves deep scleral collagen, may thin/perforate.

Treatment

Systemic NSAIDs/steroids; immunosuppression for necrotizing; investigate systemic vasculitis

Preventive Measures

Control systemic autoimmune disease; urgent treatment.

Department to Visit

It is recommended to visit the Ophthalmology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.