Scleritis is similar to episcleritis in terms of appearance and symptoms. However it is usually much more painful and can lead to vision loss due to progressive inflammation of the ocular tissues or even morbidity and mortality due to an underlying collagen vascular disease.
A battery of tests including blood tests or X-rays will be needed to uncover a possible underlying medical condition. An evaluation by a rheumatologist may be recommended.
Medications by mouth are required in the treatment of scleritis. Topical medications are usually not effective. At Wilmer, scleritis is treated by the Ocular Surface Diseases and Dry Eye Clinic.