Scleritis

An inflammation of the sclera (the white outer wall of the eye).

Alternative Names

Inflammation - sclera

Causes, incidence, and risk factors

Inflammation of the sclera is usually associated with autoimmune diseases such as rheumatoid arthritis , lupus erythematosis, infections, or chemical injuries. Sometimes the cause is unknown. It occurs most often in people between the ages of 30 and 60 and is rare in children.

Signs and tests

  • Eye examination
  • Physical examination
  • and blood tests to search for or to rule out underlying causes
  • Treatment

    Corticosteroid eye drops are effective in reducing the inflammation. Sometimes oral corticosteroids are prescribed. If the scleritis is caused by an underlying disease, treatment of that disease may be necessary.

    Expectations (prognosis)

    The condition may recur but usually responds to treatment. The underlying disorder associated with the scleritis may be serious, and the outcome depends upon the specific disorder.

    Complications

  • Recurrence of the scleritis
  • Side effects of prolonged corticosteroid therapy
  • If untreated, perforation of the eyeball may occur
  • Calling your health care provider

    Call for an appointment with your health care provider (or an ophthalmologist) if you have symptoms suggestive of scleritis.

    Prevention

    There is no preventive treatment for most cases. Patients with autoimmune diseases, such as rheumatoid arthritis may need careful monitoring by an ophthalmologist with experience treating ocular inflammatory diseases.

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