Scleritis is an acute inflammation of the deep white layers of the eyeball, most often associated with any general inflammation in the body. Treatment strategy usually includes antibacterial, antitoxin medications, local drops with corticosteroids, and anti-inflammatory therapy. In severe cases, surgical intervention is indicated.
Ophthalmologists name the inflammation process in the eye sclera as scleritis. Doctors also separate eуpiscleritis - an inflammatory disease of the connective tissue between the conjunctiva and the sclera called the episclera.
In most cases, scleritis is associated with systemic inflammatory processes (rheumatoid arthritis, systemic lupus erythematosus, Bekhterev's disease) or a common illness (tuberculosis or diabetes). The condition can be the first manifestation of these diseases and serve as their detection. Very rarely is scleral inflammation associated with a primary infection.
The most common symptoms include:
- Severe dull pain (that can wake up the patient).
- Local redness of the sclera and conjunctiva.
- Pain when touching the eye through the eyelid.
- Light sensitivity.
- Decreased vision (if other eye membranes are involved).
The affected area may be limited to small nodules, or the inflammation may involve the entire sclera. Necrotising scleritis, a rarer and more dangerous variant, can lead to thinning of the sclera.
Along with a vision test, intraocular pressure measurement, examination with a slit lamp and an ophthalmoscope, the doctor may prescribe blood tests to check for systemic inflammatory diseases. If there is an involvement of the posterior segment of the eye, an ultrasound examination or scans are performed.
Scleritis is treated by prescribing non-steroidal anti-inflammatory drugs in tablets (as a systemic treatment) and drops (for local effect). It is necessary to treat the disease that provokes the development of scleritis simultaneously. If usual methods do not help, a surgical operation is used as an exception. Specialists provide sclera or cornea transplantation from a donor to cover the area of the thinned sclera.
Where can I get Scleritis treatment?
What are the best clinics for Scleritis treatment?
Who are the best doctors for Scleritis?
Prof. Dr. med. Mathias Maier from University Hospital rechts der Isar Munich
Dr. med. Detlef Deiermann from Academic Hospital Bundeswehr Berlin
Prof. Dr. med. Thomas Kohnen from University Hospital Frankfurt am Main of Goethe-University
Prof. Dr. med. Siegfried Priglinger from University Hospital Ludwig-Maximilians Munich
PD. Dr. med. Ira Seibel from Helios Hospital Berlin-Buch