Consultant Ophthalmologist,
Cataract & Refractive Surgeon

BMedSci BM BS MRCS MRCSEd MRCOpth FRCOphth MMedLaw PgD Cataract & Refractive Surgery

Scleritis

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Vision?

May be normal

Stickiness?

No

Laterality?

Unilateral

Pain?

Yes, the pain tends to be marked

Visual acuity?

Normal or slightly reduced

Where is the redness?

Localised redness of the sclera. It can be hard to differentiate this from episcleritis, but the engorged vessels tend to be more ‘beefy’ and appear deeper than in episcleritis

Stain on cornea?

No

Pupil?

Normal

Is the cornea clear?

Yes

Conjunctival appearance?

Normal, but the underlying sclera is inflamed and may have a white, avascular, necrotic patch.