Scleritis
From Anvita Health Wiki
Contents |
Introduction
- Inflammation of the sclera.
Etiology
- often associated with systemic disease
-
- connective tissue disease (~ 50%)
- other
Epidemiology
- uncommon
- more common in women than men
Clinical-manifestations
- painful, often protracted course
- focal conjunctival inflammation or inflammation may be more diffuse
- violaceous hue of the eye globe
- results from vascular dilatation of the underlying vessels
Laboratory
- depends on the clinical suspicion
- complete blood count ( CBC)
- electrolytes
- erythrocyte sedimentation rate (ESR)
- serology for syphilis, RPR
- serum uric acid
- heumatoid factor
- ntinuclear antibody ( ANA)
Radiology
- B-scan ultrasonography may assist in detecting posterior scleritis
- MRI or CT scans may play a role, but should be ordered in consultation with an ophthalmologist
- Chest X-ray may be indicated to look for underlying pulmonary involvement arising from systemic disease
- imaging of sacroiliac joints is prudent when ankylosing spondylitis is suspected
Differential-diagnosis
Management
- contact an ophthalmologist
More General Terms
Additional Terms
References
- Stedman's Medical Dictionary 26th ed, Williams & Wilkins, Baltimore, 1995
- Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998
- Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010
