UVEA
Episcleritis
Mild symptoms, blanches with phenylepherine 2.5% drops
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Management
- Self limiting, treat with NSAID drops e.g. ketorolac trometamo tds 1-2 weeks
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When to refer
- Rarely need steroids so refer urgent only if severe persistent symptoms
Scleritis
Very severe pain, no blanching with phenylepherine drops, often systemic autoimmune disease
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Where to refer:
- Refer to eye casualty for high dose systemic steroids
Uveitis
Risk of misdiagnosis and short steroid course comes with high risk of recurrence, therefore best referred to eye casualty.
If previous corneal graft must be referred to eye casualty very urgently to avoid rejection.
Date reviewed 07/08/2019
Next review due 07/08/2020
Sifter name Dr Rebecca Harling
Contributor Mr William Westlake
Version No. 2.10