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Thursday, April 27, 2017

Episcleritis - A Brief Introduction



Introduction: Episcleritis is a common and benign inflammation of the episclera, typically affecting young and middle-aged adults. Seventy percent of cases occur in females.

The episclera lies just beneath the bulbar conjunctiva. Its vessels are large, run in a radial direction,
and can be seen beneath the overlying conjunctiva. Episcleral and conjunctival vessels blanch with the use of topical 5% phenylephrine drops, unlike deep episcleral vessels.

Clinical Features: 

  • Patients may complain of foreign body sensation, mild tenderness, irritation, mild photophobia, and excessive lacrimation.
  • Pain is unusual but can occur, particularly in chroniccases. 
  • One-half of cases are bilateral. 
  • Eye findings are notable for a localized pink or bright red conjunctival injection, with involvement of the vessels in the superficial episcleral vascular plexus. 
  • Visual acuity is normal.

Associated  Conditions: Episcleritis is usually an isolated condition, though it may be associated with a number of systemic diseases, including rheumatoid arthritis, inflammatory bowel disease, lupus, and vasculitis.



Important Points To Remember: 
1. It is important to differentiate episcleritis from sight threatening scleritis. Episcleritis presents with only mild pain and bright red episcleral vessels, which will blanch with topical phenylephrine.
2. Conjunctivitis is a more common cause of red eye, and symptoms usually include morning crusting. Injection that is localized rather than diffuse is more likely to be episcleritis

Management: For many patients, the condition is self-limited and will resolve within 3 weeks, with or without treatment. For mild cases, use over-the-counter artificial tears. For those with recurrent or recalcitrant lesions, referral to the ophthalmologist is indicated.

6 comments:


  1. I feel so excited today because it's just a year since I got my breakthrough from Herpes.I was diagnosed of HSV1 on the 12/4/2015 and latter i got affected with the HSV2. That was my 2nd outbreak after i lost my ex fiance that got me affected with the virus. I was so scared when he died and what i heard about the Herpes virus as he's deathly and such has no cure. I feel so pity and and a disgrace to my personality,in my career and my family to have been in with the deathly sickness, and that would makes my love ones siblings stay far from me. I was going to my regular church activities when i begin to hear testimonies of how people get cure online, i never gave it a thought till my cousin Stephanie who was affected with HIV told me, Lenny you need not to worry cos i met i man today online , i traditional herbal healer whom two of her friends confirmed he cure them with his herbal herbs that i should give it a try. I saw the interest in her and she did contact the herbal doctor again in my present, luckily for me he picked and show up himself, behold he was at about to attain to some patients that have came back with appreciation of how he cure them from Cancer, HIV, and off much too the herpes he cured an 18 years old daughter.
    I was so happy that day, i wanted to be there but the distance was a barrier to me. I told him how the virus had eaten me up and and a truly believe there's cure for herpes. He told me me with assurance that my case wont be different and he had been curing lots of people With his herbal medicine and most people due contact him from the States and preperd the medicine and made use of the DHL to reach him.
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    He made me do away with the medical prescription,the acyclovir (Zovirax), famciclovir(Famvir), and valacyclovir (valtrex). you don't know him because you haven't meet this man try and contact him yourself Dr. Akpu in Africa is popularly known in his City,and you can request for his address yourself. I'm so happy now cos,I and my cousin had been confirmed negative till date..the Lord is good in my life. Dr. Akpu sent me his herbal medicine that heal me too, 🙏 🙏 Dr. Akpu for giving me another life.
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    Replies
    1. Hello, everyone! I,m here to explore blogs and forum about wonderful and most safe cure for (Herpes Virus).I was positive to the deadly virus called herpes and i lost hope because i was out casted and rejected even by my closet friends.i searched on-line to know and enquirer about cure for Herpes and i read someone testimony on how he was cured from Herpes so i decided to contact the same herbalist because i know that nature has the power to heal everything.i contacted him to know how he can help me and he told me never to worry that he will heal me with the natural herbs from God!after 2 days of contacting him, he told me that the cure has been ready and he sent it to me via DHL and it got to me after 3 days!i used the med as he instructed me (MORNING and EVENING) and i was cured!its really like a dream but i am so happy!thats the reason i decided to also add more comment of Him so that more can be saved just like me!and if you need his help, you can email him on nativehealthclinic@gmail.com, or whatsapp +2348140073965 I,m neme amber and you can get in touch with me via nemeamber@gmail.com..Contact him for help at Herpes virus HIV/AIDS CANCER COPD BRAIN TUMOR All kind of virus and disease

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  2. I THINK IT'S RIGHT TIME YOU TRY HERBAL MEDICINE!!!
    I world is enough for a wise. I'm john chamber from New South Wales, Australia. I was an Herpes patient for 2years ,i suffered a great lost in applying medical treatment to get cure from the virus the blisters keeps reoccurring on me. It was too scaring having does sleepless nights with Herpes. I went through many hospitals seeking for the solution to my cure all my efforts where rendered useless. I was so frustrated, and lost my lovely wife along the line due to the bad effects of her virus. I became so ashamed of myself. I decided to check on the internet if there could be any possible remedy to this dangerous virus . Then,I came across lots of comments about Dr. Akpu's Herbs cure who's patience have recommended him of his Good work,testifying how his medicine saved their lives, and there have been living happily negative of the Herpes virus. I thought and believe I could be cure as well. Then,I decided to give it a try. To my greatest surprise after contacting the Dr.,I was very happy in our first chat and I believe in everything he said. He really proved to me after going through lots of pics and videos with his patients. I then ordered for his medicine , he prepared and sent it through the DHL service...it was like a jock,but now a dream come through that I'm Herpes free, I have recently been confirmed HSV negative. All thanks to God for showing me the way to Dr Akpu the great and powerful herbalist, the best herbalist, with understanding and genuine in his works.
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  3. Thank you so much all the way for taking your time to share this unique articles, testimonies and videos about herpes cure.
    It's my first time to share my feelings publicly, but I made a vow to accomplish it this way so through me others can be safe to reach out Dr. Odey Abang for any cure to their viruses/ Diseases
    I'm David Mark. I had this feelings that they could be a cure to all this deathly and common Diseases. My case was admitted after a ran for my reqular monthly checkup and was shocked when I was tested Herpes Simplex Virus.
    I thought this could be a way the wants be to keep patronizing them, Encouraging me to be taking in the antibiotics, the Acyclovir medicine, but wasn't comfortable living on drugs, the case was getting out of hand, affecting my job and life , sore keeps reappearing lots of nightmare thinking about my cure.
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    Have been to different hospitals and the results still shows negative, in me I knew it works and the confidence in me made my friends who where both Herpes carrier where very curious and they all got their cures.
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  4. Always, anywhere and anytime,I feel very comfortable now all to the work of Dr Odey Abang,the Herbalist who prepare for me the remedies to my health challenges.
    I could feel more comfortable when he explained to me how dangerous it's caring Herpes with me getting affected easily with Other sexually transmitted infections. Genital sores increases my risk of transmitting or contracting other sexually transmitted infections, including AIDS.
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    I was so scared when he says that because I found a lover who ran into it and had a shock on me after the checkup and develop stroke.
    This has been my earnest prayers for the physician therapist to come in with positive solutions to remedies Herpes and most viral infections. I'm now free and I thank God for leading me to see others getting cured with Herbs. I decided to try and found out that the best way I would have done was to get rid of it and give my testimony. Glory to God I became free after I received his medicine from the DHL and applied as instructed. Till date I had no SYMPTOMS nor virus to detect of me, I called him and thankful for what he did,and ask if he could cure my stroke boyfriend,he said yes and did the same preparation to my boyfriend for his stroke and Recoverd from it. Nothing is impossible with Herbs IN CURES, you're the next if you will be willing to apply his medicine and instructions on how to manage.
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  5. I’m here to testify about what Dr. Omola did for me. I have been suffering from (GENITAL HERPES VIRUS) disease for the past 3 years and had constant pain and inching, especially in my private part. During the first year, I had faith in God that i would be cured someday.This disease started circulating all over my body and I have been taking treatment from my doctor, few weeks ago I came across a testimony of Mary on the internet testifying about a Man called Dr. Omola on how he cured her from 5 years HSV 2. And she also gave the email address of this man, advise anybody to contact him for help on any kind of diseases that he would be of help, so I emailed him telling him about my (HSV 2) he told me not to worry that I was going to be cured!! Well, I never doubted him I have faith he can cure me too,, Dr. Omola prepared and sent me Healing Oil, Soap, roots and herbs which I took. In the first one week, I started experiencing changes all over me, after four weeks of using his Roots/ Herbs, Oil and Soap, I was totally cured. no more inching , pain on me anymore as Dr. Omola assured me. After some time I went to my doctor to do another test behold the result came out negative. So friends my advise is if you have such disease or know anyone who suffers from it or any other disease like HPV, HBV, ALS, HBP, CANCER etc. you can contact Dr. Omola for help via dr.omolaherbalhome@gmail.com or whatsapp +2348118116254.

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