The episclera is the layer found under the conjunctiva, covering the white of the eye. Inflammation of this layer presents as redness as a result of dilation of the blood vessels that are found in this layer. This maybe sectoral whereby only one part is affected, or diffuse, in which case most of the episclera is inflamed. Episcleritis is commonly self-limiting and resolves itself within 3 weeks. In rare cases, episcleritis has been associated with rheumatoid arthritis. Patients with recurring episodes should be referred to an ophthalmologist. Topical NSAIDs and topical steroids may be prescribed for severe cases.[5,6]
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Cite this: Managing Common Eye Conditions in the Pharmacy - Medscape - Apr 01, 2010.