Episcleritis/scleritis
Which vessels are bright red when inflamed?
Conjunctival
Episcleral
Scleral
Scleritis is common in mostly females of what age?
20-40
20-30
20-60
40-60
What percentage of episcleritis is nodular?
20%
40%
60%
80%
Simple episcleritis will NOT have
Tenderness on palpation
Mild photophobia and watering
Decreased vision
Previous episodes
Simple episcleritis can result in overlying corneal oedema
True
False
When shining a SL beam over a episcleral nodule, the deep beam will
Not be displaced over the scleral surface
Be displaced over the scleral surface
An episcleral nodule will be
Mobile
Not mobile
DDx for episcleritis does NOT include
Conjunctivitis
Scleritis
Karposi's sarcoma
Hyphaema
Management of mild episcleritis does NOT include
No action
Hot compress
Lubrication
Always use steroids
What steroid should be used in the management of nodular episcleritis?
FML
Flarex
Pred forte
Rhuematoid arthritis has a strong association with scleritis. Approx. How many RA patients who get scleritis will die within 3 years?
10%
20%
40%
60%
Inflammation is present in how much of the sclera (degrees) in anterior, diffuse, non-necrotising scleritis?
60 degrees
70 degrees
80 degrees
90 degrees
The most correct management for diffuse non-necrotising scleritis is
Refer
Manage with steroids
Nodular scleritis will have a nodule that is
Mobile
Not mobile
A Px presents with scleritis and persistent pain in the jaw and brow. This is
Diffuse scleritis
Nodular scleritis
Necrotising with inflammation
Necrotising without inflammation
The white patch shows:
Retinoblastoma
Vascular occlusion
Toxoplasmosis
Lymphoma
The dark patches are:
Melanoma
Naevus
Uvea showing through thinned sclera
There is no effective treatment for necrotising scleritis without inflammation
True
False
Fundus signs of posterior scleritis does NOT include
Choroidal folds
Mac oedema
Disc oedema
Retinoschisis
The key to diagnosing posterior scleritis is:
X-ray
Ultrasound
Fundus examination
Motility
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