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Episcleritis

Episcleritis is usually mild inflammation of the thin tissue between the conjunctiva and the white of the eye. It often causes a sudden local red patch, irritation and mild tenderness without reduced vision. A red eye with severe deep pain, light sensitivity, blurred vision, contact-lens use or injury needs prompt assessment because a more serious cause may be present.

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  • Episcleritis is superficial inflammation over the tough white outer layer of the eye and is usually harmless and self-limiting.
  • A sector of the white of the eye becomes bright red or pink. Mild irritation and watering may occur, but clear vision is preserved.
  • Severe deep pain, marked light sensitivity, an abnormal pupil or reduced vision do not fit uncomplicated episcleritis.
  • A doctor distinguishes episcleritis from conditions including scleritis, uveitis, keratitis, acute glaucoma, bleeding and conjunctivitis.
  • Using corticosteroid drops yourself is unsafe: they can raise eye pressure and worsen or hide infection.

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