scleritis
full thickness inflammation of the sclera
not usually due to infection
necrotising scleritis
most severe type of scleritis
can lead to perforation of the sclera
assoc conditions
SLE RA sarcoid IBD granulomatosis with polyangitis
features
acute onset severe pain red eye painful movement photophobia watery eye reduced visual acuity abnormal pupil reaction light
Mx
same day referral
NSAIDs
steroids
immunosuppressants approp to underlying disease