Scleritis is a severe inflammation of the sclera, eye clinics in thrissur the white outer layer of the eye. Unlike Episcleritis, which is usually mild, scleritis is a painful and potentially vision-threatening condition that requires urgent medical attention.

It is often associated with systemic autoimmune diseases and can affect both vision and overall eye health.

Why Scleritis Occurs

Scleritis is commonly caused by an immune system response that leads to inflammation of the sclera.

It is frequently linked to autoimmune disorders such as:

• Rheumatoid Arthritis

• Lupus

In some cases, infections or trauma may also trigger the condition.

Types of Scleritis

Anterior Scleritis

Affects the front part of the sclera and is the most common type.

Posterior Scleritis

Affects the back part of the eye and may be harder to diagnose.

Necrotizing Scleritis

A severe form that can lead to tissue damage and vision loss.

Symptoms of Scleritis

Symptoms are usually severe and progressively worsen.

Common symptoms include:

• Intense, deep eye pain (may radiate to the face or head)

• Redness of the eye

• Blurred vision

• Sensitivity to light

• Excessive tearing

• Pain with eye movement

Pain is a key feature that distinguishes scleritis from milder conditions.

Diagnosis

Scleritis is diagnosed through a comprehensive eye examination and medical history.

Tests may include:

• Slit-lamp examination

• Imaging (such as ultrasound or MRI)

• Blood tests to identify underlying autoimmune diseases

Early diagnosis is critical to prevent complications.

Treatment Options

Scleritis requires prompt and often aggressive treatment.

Anti-inflammatory Medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroids are commonly used.

Immunosuppressive Therapy

Used in severe or autoimmune-related cases.

Treatment of Underlying Disease

Managing conditions like Rheumatoid Arthritis is essential.

Antibiotics or Antivirals

If an infectious cause is identified.

Prevention and Care

• Manage autoimmune diseases effectively

• Seek early treatment for persistent eye pain

• Attend regular medical checkups

• Avoid ignoring severe eye symptoms

Final Thoughts

Scleritis is a serious eye condition that can threaten vision if not treated promptly. Severe pain and persistent redness are warning signs that should never be ignored.

Early diagnosis, proper treatment, and management of underlying conditions are crucial for preserving eye health and preventing complications.