Scleritis, Episcleritis Pearls
-Scleritis is characterized by significant pain, pain with eye movement, vision loss, and vessels that do not blanch with phenylephrine.  
-Episcleritis is typically less painful with no vision loss.  Vessels blanch with phenylephrine drops and can be moved by a cotton swab. 
-Management of scleritis involves ophthalmology consultation and steroids +/- topical antibiotics.  Episcleritis is typically self-limited and does not require acute treatment.


#Diagnosis #Ophthalmology #Scleritis #Episcleritis #ComparisonTable