Patient will present as → a 42-year-old white femail 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
