Scleritis Treatment

Treatment/Prognosis of Sclertitis

If these symptoms are experienced, the patient should have a complete eye exam including dilation to rule out other disorders.  Underlying systemic disease is the cause in about 50% of cases so a physical exam with their primary care physician including a blood work-up for auto-immune disease.  Treatment may include oral non-steroidal anti-inflammatory (NSAIDs), oral corticosteroids, and/or oral immunosuppressive therapy.  If the scleritis and underlying disease are not treated promptly, the inflammation can spread to other parts of the eye.  Also, symptoms can recur and more serious complications can develop (perforation of the globe).  Length of treatment and follow up will depend on the severity of the signs and symptoms. 

Scleritis can worsen and progress to ischemia and necrosis, which may lead to scleral thinning and perforation of the globe and possibly lead to blindness.