Episcleritis: symptoms and treatment

Episleritis is an inflammatory process in the tissue that connects the sclera and conjunctiva of the eye. The eye itself often has a bright red color, which to some extent complicates the diagnosis, since such a symptom often indicates another disease of the visual apparatus — conjunctivitis. Epicleritis is a chronic disease that affects both eyes. The elderly are more predisposed to this kind of eye disease, and women older than forty. It is much less common in children, but has the same causes and symptoms of the course of the disease.

Why does such a disease arise is rather difficult to determine, because according to statistics, almost 60% of people with episcleritis do not seek help from doctors. It follows that they are treated independently, and this can significantly worsen their condition. Even in the case of a mild illness, to treat a disease such as episcleritis, you need to seek help from doctors to fully preserve the visual function. But it is worth noting that the disease does not cause any serious complications for vision.


Since a small number of people resort to help with episcleritis, then finding out the causes of the disease is difficult. But doctors managed to find out that epicleritis occurs in such cases:

  • a high level of uric acid in the blood is observed in the human body
  • Various infectious diseases progress. Among which can be — tuberculosis, syphilis, pneumonia
  • a variety of inflammatory processes
  • Insect bite
  • hormonal change in the background;
  • allergic reactions
  • a wide range of eye injuries;
  • getting into the eye of chemicals
  • alien object in the eye
  • viral diseases caused by various fungi or bacteria


Taking as a basis the manifestation and intensity of symptoms, the following types of episcleritis are known in the medical field:

  1. Normal;
  2. Nodal
  3. Migrating;
  4. rosacea-episcleritis.

The course of the disease can be:

  • light;
  • Heavy.

The most common type of episcleritis is considered to be nodular. It often occurs in elderly people, spreads to both eyes, and in some cases is accompanied by pain. Nodules, up to three millimeters in size, move freely along with the conjunctiva. The course of the disease is wavy, with frequent exacerbation and withdrawal of symptoms. The older the person, the more worried the symptoms of the disease. It is worth noting that even without treatment all manifestations soon disappear on their own.

Migrating episcleritis, based on the name, appears alternately, then in one or the other eye. For this type of characteristic expression of a painful focus of the disease, which is accompanied by a strong redness of the affected eye, severe headaches and swelling of the eyelids and eyes. It takes a few days.

Rosacea-episcleritis appears just like the previous type, but it adds corneal damage to the eye and the appearance of acne on the face of acne. The severity of episcleritis depends on the extent to which the cornea is damaged.


In elderly, adults and children, the symptoms of episcleritis are exactly the same, only the strength of the expression can differ. Among the signs of the disease can be:

  1. external redness of the eye protein
  2. discomfort in the eyes
  3. increasing liquid separation
  4. sensitivity to light;
  5. pain in the eyes;
  6. edema of the eyelids and the shell of the eye
  7. the appearance of acne eruption of a pale pink hue
  8. strong and prolonged headaches.

If you do not cure epicleritis in a timely manner, especially in children, the symptoms of the disease will pass from five days to two months. The only problem is that the disease is chronic.


Diagnose episcleritis of the eye, as well as distinguish it from another similar disease — conjunctivitis, can only the doctor an ophthalmologist when examining the patient with the help of special lighting and tools. When examining, it is important to determine the type and causes of the disorder in the patient. In addition, the doctor collects complete information about the previous diseases or eye injuries, and finds out what could be the source of the disease. If, after the examination, it was not possible to accurately determine this disease, other studies are being carried out to distinguish episcleritis from other eye diseases. For example:

  • Episcleritis, unlike scleritis, does not affect the vessels of the eyes and flows much easier
  • it is possible to distinguish from conjunctivitis by the absence of a change in the color of the damaged eye from red to violet.

For a complete diagnosis, the doctor must take a blood test — to confirm or deny the infection or syphilis in the body. It is also necessary to track the level of uric acid in the blood by biochemical analysis. To make a fluorography.


In most cases, episcleritis does not require treatment, since all the symptoms pass independently. But if necessary, such drugs as artificial tears or glucocorticosteroids. But it should be noted that it is not recommended, as they can cause other problems with vision, glaucoma or cataracts, as well as cause of aggravation of the underlying disorder. If these drugs do not have an effect, then the patient is prescribed non-steroidal anti-inflammatory drugs.

In the case when a person has a photophobia, the doctor ascribes his glasses to protect from the sun. But if the cause of episcleritis is a foreign body in the eye, it must be urgently removed, sometimes by surgery.

With timely access to a doctor and proper treatment, you can permanently get rid of such a disorder. But, if you let it go, the disease will come back again.

In addition to drug therapy, epicleritis can be treated with folk remedies, which include:

  1. drops from aloe juice
  2. washing the eyes with decoctions of chamomile flowers, cornflower and burdock roots
  3. lotions from black weak tea.

Treatment with folk remedies is recommended for three or four months.


Preventive measures for episcleritis are:

  • taking care of your eyes
  • parental supervision of children
  • treat the infectious diseases that may affect the onset of episcleritis without delay;
  • wearing sunglasses that protect against sunlight, dust and insects;

  • always seek help from ophthalmologists for the slightest disturbance of visual function, to clarify the true cause of this and to prescribe adequate therapy.