Episcleritis is irritation and inflammation of the episclera, a thin layer of tissue covering the white part (sclera) of the eye. It is not an infection.
Episcleritis is a common condition. In most cases the problem is mild and vision is normal.
The cause is often unknown. But, it may occur with certain diseases, such as:
Your health care provider will do an eye exam to diagnose the disorder. Most of the time, no special tests are needed.
The condition most often goes away on its own in 1 to 2 weeks. Using corticosteroid eye drops may help ease the symptoms faster.
Episcleritis most often improves without treatment. However, treatment may make symptoms go away sooner.
In some cases, the condition may return. Rarely, irritation and inflammation of the white part of the eye may develop. This is called scleritis.
Contact your provider if you have symptoms of episcleritis that last for more than 2 weeks. Get checked again if your pain gets worse or you have problems with your vision.
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Cioffi GA, Liebmann JM. Diseases of the visual system. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 395.
Patel SS, Goldstein DA. Episcleritis and scleritis. In: Yanoff M, Duker JS, eds. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019:chap 4.11.
Promelle V, Goeb V, Gueudry J. Rheumatoid arthritis associated episcleritis and scleritis: an update on treatment perspectives. J Clin Med. 2021;10(10):2118. PMID: 34068884 pubmed.ncbi.nlm.nih.gov/34068884/.BACK TO TOP
Review Date: 8/22/2022
Reviewed By: Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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