PANCE Blueprint EENT (7%)

Scleritis

Patient will present as → a 42-year-old white female companing of a severely painful righ eye. The pain is a constant, boring pain that worsens at night and in the early morning hours and radiates to the face and periorbital region. Additionally, she reports a headache, watering of the eye and ocular redness.

Inflammation of the sclera associated with systemic immunologic disease, such as rheumatoid arthritis

  • It causes significant eye pain (severe, deep pain)

On examination, there is ocular redness and pain on palpation of the eyeball. It can cause visual impairment

  • Labs should include screening for systemic immunoligic diseases - ANCAs, ANA, CRP, ESR, Lyme, RA, ACE, RPR, etc.

Bilateral anterior scleritis

Refer the patient for prompt evaluation by an ophthalmologist.

  • Treatment involves topical and sometimes systemic corticosteroids
Glaucoma (Lecture) (Prev Lesson)
(Next Lesson) Strabismus (ReelDx + Lecture)
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