- Inflammation of connective tissue under Conjunctiva
- Idiopathic in most cases
- Contrast with Scleritis which is often a manifestation of Connective Tissue Disease
- May be associated wth Inflammatory Bowel Disease
- Allergy may underly many cases
- Uncommon other causes
- Slit Lamp Exam
- Superficial Localized Edema over Sclera
- No Scleral thickening or other involvement
- Scleritis blanches with topical Phenylephrine 2.5% (contrast with Scleritis which does not blanch)
- Resolves spontaneously within days
- No treatment needed (resolves spontaneously)
- Ocular NSAID
- Differentiate from Scleritis and Uveitis, which present with severe pain, and even permanent Vision Loss
- Goldstein in Yanoff (1999) Ophthalmology, p. 13.1
- Ruddy (2001) Kelley's Rheumatology, Saunders, p. 396
- Nakla (1998) Gastroenterol Clin North Am 27:697-711 [PubMed]