Last revised by Rohit Sharma on 8 Aug 2023

Episcleritis describes inflammation of the thin outer layer of the sclera. The episcleral layer is present in between the conjunctiva and sclera and can become acutely inflamed unilaterally or bilaterally.

Clinically, patients may present with:

  • red eye(s)

  • ocular discomfort

  • pain in eye(s)

Less common clinical features include:

  • photophobia

  • ocular discharge

  • idiopathic

  • autoimmune disorders

  • collagen vascular diseases

  • infections

  • malignancy (rare)

Episcleritis is usually self-limiting, although topical treatments may be used (e.g. lubricants, nonsteroidal antiinflammatory drugs, corticosteroids).

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