At a glance - Scleritis versus uveitis

SCLERITIS

Discriminatory signs
- Very painful deep, boring ache.
- Tender eye.
- Bluish purple discolouration of the sclera.
- Watering of the eye and photosensitivity.
- More common in women aged 30s-50s.
- Can affect both eyes.
- Can accompany autoimmune disorders.
- About half of cases have no known cause.

Management
- Refer.
- NSAIDs or prednisone.
- Patients with rheumatoid arthritis or those unresponsive to
corticosteroids may need cyclophosphamide or azathioprine.

UVEITIS
Discriminatory signs
- In most people no cause is identified.
- Can involve both eyes.
- Sudden onset of severe pain in the eye.
- Circumcorneal congestion.
- Photophobia.
- Blurred vision.
- Meiotic pupil.
- Many have only one episode of uveitis.

Management
- Refer to ophthalmologist.
- Corticosteroids. Mydriatic scopolamine, cyclopentolate or atropine eye
drops.

- Contributed by Dr Vasa Gnanapragasam, GP in Sutton, Surrey.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Before commenting please read our rules for commenting on articles.

If you see a comment you find offensive, you can flag it as inappropriate. In the top right-hand corner of an individual comment, you will see 'flag as inappropriate'. Clicking this prompts us to review the comment. For further information see our rules for commenting on articles.

comments powered by Disqus