Scleritis

Disease database

Scleritis is a rare but serious condition that affects the sclera, the white outer layer of the eye. It is characterized by inflammation of the sclera, which can cause eye pain, redness, watering, photophobia, blurred vision, headache, decreased visual acuity, and tearing. This condition can be quite uncomfortable and may require medical intervention for proper management.

Eye Pain: A Distressing Symptom

One of the most common symptoms of scleritis is eye pain. This pain can range from mild to severe and may be described as a deep, throbbing ache. The pain is often worse with eye movement and can be debilitating for some individuals. It is important to seek medical attention if you experience persistent eye pain, as it may be a sign of scleritis or another underlying condition.

Redness and Watering: Visible Signs of Inflammation

Redness and watering of the eye are common signs of inflammation in scleritis. The blood vessels in the sclera become dilated and more prominent, giving the eye a red appearance. Additionally, the inflammation can cause increased tear production, leading to excessive watering of the eye. These visible signs can be distressing and may prompt individuals to seek medical help.

Photophobia: Sensitivity to Light

Photophobia, or sensitivity to light, is another symptom that individuals with scleritis may experience. Bright lights, such as sunlight or fluorescent lighting, can cause discomfort and pain in the eyes. This sensitivity can make it difficult to go outside or be in well-lit environments. Wearing sunglasses or using tinted lenses can help alleviate this symptom.

Blurred Vision: Impaired Visual Clarity

Scleritis can also cause blurred vision, making it difficult to see objects clearly. This blurriness can range from mild to severe and may affect one or both eyes. It is important to have your vision evaluated by an eye care professional if you experience persistent blurred vision, as it may indicate underlying inflammation or damage to the eye.

Headache: A Common Accompaniment

Headaches are often associated with scleritis and can be a result of the eye pain and strain caused by the condition. These headaches can range from mild to severe and may be localized around the eye or felt throughout the head. Managing the underlying inflammation and pain can help alleviate associated headaches.

Decreased Visual Acuity: Impaired Eyesight

Scleritis can lead to decreased visual acuity, or impaired eyesight. This can manifest as difficulty reading, seeing objects at a distance, or overall blurry vision. It is important to have your eyes examined by an eye care professional if you notice a decline in your visual acuity, as prompt treatment can help prevent further vision loss.

Tearing: Excessive Tear Production

Excessive tearing, or watery eyes, can occur as a result of scleritis. The inflammation in the eye can stimulate tear production, leading to tearing and a watery appearance. While tearing is a natural response to eye irritation, excessive tearing may indicate an underlying issue that requires medical attention.

Treatment and Management

While there is no cure for scleritis, there are several treatment options available to manage the condition and alleviate symptoms. The specific treatment plan will depend on the severity and underlying cause of the inflammation. Some common treatment options include:

  • Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain
  • Corticosteroids to suppress the immune response and reduce inflammation
  • Immunosuppressive medications to control the underlying autoimmune condition
  • Topical eye drops or ointments to provide relief and lubrication
  • Protective eyewear to shield the eyes from further irritation

It is important to follow the prescribed treatment plan and attend regular follow-up appointments with your eye care professional. They will monitor your condition and make any necessary adjustments to your treatment plan.

In addition to medical treatment, there are several self-care measures that can help manage scleritis and promote overall eye health:

  • Apply warm compresses to the eyes to reduce inflammation and soothe discomfort
  • Avoid rubbing or touching the eyes, as this can worsen symptoms
  • Wear sunglasses or protective eyewear when outdoors to reduce exposure to bright lights
  • Practice good hygiene, including regularly washing your hands and avoiding sharing towels or eye makeup
  • Follow a healthy diet rich in antioxidants and omega-3 fatty acids to support eye health

It is important to consult with your healthcare provider before starting any new treatment or self-care regimen.

In conclusion, scleritis is a condition characterized by inflammation of the sclera, the white outer layer of the eye. It can cause symptoms such as eye pain, redness, watering, photophobia, blurred vision, headache, decreased visual acuity, and tearing. While there is no cure for scleritis, prompt medical intervention and appropriate treatment can help manage the condition and alleviate symptoms. It is important to seek medical attention if you experience any of these symptoms to receive a proper diagnosis and treatment plan. By following the prescribed treatment and practicing good self-care, individuals with scleritis can effectively manage their condition and maintain good eye health.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA