Scleritis Flashcards
Which gender typically suffers from scleritis?
Female
Which is more common, anterior scleritis or posterior scleritis?
Anterior scleritis (98%)
What is the most common type of anterior scleritis?
Non-necrotizing scleritis
What characterizes diffuse non-necrotizing scleritis?
Diffuse hyperemia
What are the two types of non-necrotizing scleritis?
Diffuse
Nodular
What are the 2 classes of anterior scleritis?
Non-necrotizing scleritis
Necrotizing scleritis
Necrotizing scleritis without inflammation in an RA patient is called what?
Scleromalacia perforans
What characterizes nodular scleritis?
Deep, focal, painful, injected, immobile nodule
What is the worst kind of anterior scleritis?
Necrotizing with inflammation
Necrotizing scleritis with inflammation is typically a result of what?
Severe autoimmune disease
What are the major ocular complications of necrotizing scleritis with inflammation?
Peripheral corneal melt
Glaucoma
Anterior uveitis
Sclerosing keratitis
What are the typical findings of necrotizing scleromalacia perforans?
Almost a complete lack of symptoms
Minimal injection
Gray-blue patches of scleral thinning
What percent of scleritis is associated with underlying systemic disease?
50%
What are the common symptoms of scleritis?
Severe, boring ocular pain
Gradual onset redness
Decreased VA
What are the typical signs of scleritis?
Sectoral or diffuse inflammation of the large, deep vessels (can’t be moved with cotton swab)
Bluish hue under natural light
Frequently bilateral
