Physical examination and blood tests to look for or rule out underlying causes
Corticosteroid eye drops help reduce the inflammation. Sometimes corticosteroids pills are taken by mouth. Newer, nonsteroid anti-inflammatory (NSAID) drugs may be used in some cases.
If scleritis is caused by an underlying disease, treatment of that disease may be necessary.
The condition may recur but usually responds to treatment. Scleritis must be distinguished from other forms of inflammation that are less severe, such as episcleritis.
The underlying disorder associated with scleritis may be serious, and may be undiagnosed at the time of the first episode. The outcome depends upon the specific disorder.
Side effects of long-term corticosteroid therapy
Untreated, perforation of the eyeball may occur, leading to vision loss
When to Contact a Medical Professional
Call for an appointment with your health care provider or ophthalmologist if you have symptoms of scleritis.
There is no preventive treatment for most cases.
Patients with autoimmune diseases such as rheumatoid arthritis may need careful monitoring by an ophthalmologist with experience treating ocular inflammatory diseases.
Watson P. Diseases of the sclera and episclera. In: Tasman W, Jaeger EA, eds. Duane’s Ophthalmology. 15th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2009:chap 23.
Yanoff M, Cameron D. Diseases of the visual system. In: Goldman L, Schafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 431.
Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.