Login

UVEA

Episcleritis

Mild symptoms, blanches with phenylepherine 2.5% drops

  • Management
    • Self limiting, treat with NSAID drops e.g. ketorolac trometamo tds 1-2 weeks 
  • 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

  • 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.