Showing posts with label Scleritis. Show all posts
Showing posts with label Scleritis. Show all posts

Tuesday, May 10, 2016

Scleritis

Scleritis






Scleritis is an eye inflammation or eye disease caused by lowered immunity. It may cause partial or permanent loss of vision and hence one has to take prompt treatment to prevent this condition. The sclera is responsible for white color of the eye and helps to maintain the shape of the eye. It is a tough white colored layer found on the walls of the eye, extending from cornea to optic nerve found on the back of the eyes. Inflammation of sclera is known as scleritis.


Causes :










Most often, scleritis is caused by systemic diseases which affect the body seriously. Some of the diseases belonging to this category are autoimmune disorders, connective tissue disorder and generalized vasculitic disorders. It can also develop as side effect of systemic lupus, Rheumatoid Arthritis, Reactive Arthritis, psoriasis, connective tissue disease, Scleroderma, Sjogren’s syndrome and Inflammatory Bowel Disease.


Scleritis (inflammation of sclera) is a strong indication of the underlying medical problem. It can be due to fungal, viral or parasitic infection, trauma, exposure to chemicals, poisonous gases or due to post-surgical complications.


It can occur in either one of the eyes or both and in most of the cases in which both eyes are affected, systemic diseases will be the cause.


Symptoms :


Some of the major signs of this disease are redness of eye (due to inflammation), pain, and tenderness along with problems in vision. Eye pain will be present always and it gets increased when touched. The pain will disturb the person while sleeping.


It is the boring dull pain (always present) on the eyes that helps one to differentiate scleritis from other eye problems. The red coloration can be on the entire eye or only one corner of the eye, depending on the intensity of inflammation inside. It causes partial loss of vision since it may develop swelling on the cornea.


The blood vessels of the eyes may become swollen and the redness can take a bluish tint. Scleritis can develop anterior or posterior regions of the eye. Vision loss may occur due to clouding of corneal region and due to development of intraocular pressure.


Who are at risk?


Aged people above 55 or 60 and women and people with autoimmune disorders like HIV are more prone to scleritis than others.


Diagnoses :


Your ophthalmologist will view your eyes through special instrument for detecting scleritis. She may order for blood test, chest X-ray and scan for ruling out presence of any systemic infections inside.


Treatment :


Underlying medical condition is to be evaluated first before giving treatment for scleritis. Your doctor may give antibiotic eye drops for reducing inflammation and pain. Topical antibiotics are prescribed in case of eye infection.


In case of systemic diseases, NSAID drugs are administered or immune boosting agents like Methotrexate is given.


Drugs like azathioprine, cyclophosphamide and cyclosporine are given. Steroid injection is given to control the symptoms.


In rare cases, surgery is done in case if it has caused thinning of sclera.


Pictures of Scleritis :


Images, Pics, Pictures and Photos of Scleritis


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Prevention :


Scleritis is a potential eye disease often caused due to underlying medical cause. You need to consult your doctor to prevent loss of vision. You cannot prevent this disease but you should be aware to seek immediate attention from your doctor.


Individuals with autoimmune disorders like arthritis should look for above symptoms or changes in eye color and seek prompt medical care.











Scleritis – Pictures, Symptoms, Causes, Diagnosis, Treatment

Scleritis – Pictures, Symptoms, Causes, Diagnosis, Treatment

What is Scleritis?


This is an inflammatory disease which is serious and which affects the white outer coating of the eye, known as the sclera – normally referred to as the whites of the eye. This is the tough, white tissue which gives the eye its shape and which protects the eye. This is a chronic and painful disease and approximately 50% of cases are contracted along with the association of other disease including granulomatosis or Rheumatoid Arthritis. It can also be attained thru disorders of menstruation and is fairly common among young women. This is a potentially blinding inflammatory illness that is categorized by swelling as well as cellular intrusion of the scleral as well as the episcleral tissues.










The disorder occurs most frequently in individuals who are 30 to 60 years of age – it is very rare to occur in children. If scleritis is left untreated it can spread to the surrounding features in the eye and damage the eye itself, causing problems in vision.


Scleritis Symptoms


The major symptoms of scleritis are redness in the whites of the eye as well as pain. These symptoms normally gradually develop but eventually become severe. The redness can become a very intense purple. The pain radiates from the eye to adjacent areas of the face and head. Less commonly, the eye can become teary as well as very sensitive to light and the individual can lose some vision.


Symptoms include:



  • Blurred vision

  • Eye pain and tenderness – severe

  • Red patches on the normally white part of the eye

  • Sensitivity to light – very painful

  • Tearing of the eye


The symptoms of scleritis may affect only one or both eyes. A rare form of this disease causes no eye pain or redness. If not diagnosed and treated fairly promptly, complications can develop which are serious. These include puncture of the eyeball, loss of vision as well as loss of the eyeball.


Scleritis Causes


There are many causes of scleritis. The causes of this disorder which are most common are listed below. These causes affect more than approximately one million individuals in the United States:



  • Rheumatoid arthritis

  • SLE


The following causes of scleritis are conditions or diseases that affect more than 200,000 people but less than 1 million individuals in the United States:



The following causes of scleritis are considered very rare and appear in the population at a rate of substantially less than 200,000 individuals in the United States.

The following causes have no stats on the number of individuals in the United States who are affected:


You're reading Scleritis – Pictures, Symptoms, Causes, Diagnosis, Treatment posted by minhhai2d, the information is for reference only.









Scleritis Diagnosis


When you visit the eye doctor with symptoms suggesting scleritis, he/she will ask you about your medical history as well as conduct a thorough exam. Additionally, because of the association between scleritis and other medical diseases, the doctor may suggest a very comprehensive medical exam, including blood test and other tests and evaluations. Computed tomography or CT scanning, ultrasound, magnetic resonance imaging MRI as well as a biopsy can be used to eliminate other causes for the symptoms.


Scleritis Treatment


Topical Anti-inflammatory medications
Individuals with scleritis usually do not respond to topical medications such as NSAIDS or corticosteroids. But there are a minority of individuals who are persuaded that an eye drop for example prednisolone acetate 1% is helpful and this allows them to reduce or stop all together any oral medications.


Oral NSAIDS
Many individuals with scleritis do well on an oral NSAID, and these are generally the first treatment for this condition.


Oral corticosteroids
These medications are widely used in the management of scleritis and are the first treatment for necrotizing inflammation. Dosages are individualized on the basis of tolerance as well as response. Individuals on corticosteroids need to be carefully watched with regards to blood sugar, mood, weight and bone density.


Immunosuppressive drugs
Approximately 25% of individuals with scleritis require treatment with corticosteroid-sparing immunosuppressive medications to achieve any long-term control of this disease. Drugs under this classification include:



  • Methotrexate

  • Mycophenolate

  • Azathioprine

  • Ciclosporin

  • Mofetil


The choice of agent depends on the presence of any underlying disease as well as alcohol intake, liver function as well as Blood Pressure.


Surgical management
Surgical management in a small number of individuals with necrotizing scleritis, it may be necessary for surgery to preserve the integrity of the eye globe. In these cases, the outcome can be improved by controlling rapidly inflammation with aggressive immunosuppressive therapy.






Scleritis Pictures


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Scleritis