eye disorders
Scleritis
Key Points
Scleritis is severe, destructive, vision-threatening inflammation. Symptoms include deep, boring ache; photophobia and tearing; and focal or diffuse eye redness. Diagnosis is made clinically and by slit-lamp examination. Most patients require systemic corticosteroids and/or systemic immunosuppressive therapy, prescribed in consultation with a rheumatologist. Scleral grafts may be indicated for threatened perforation. 