Scleritis

What are the treatments for the disease?

The primary goal of treatment for scleritis is to prevent the loss of vision. Local corticosteroid therapy can be used to ease the person's discomfort. However, this is usually not enough to eliminate the condition. Most cases require nonsteroidal anti-inflammatory drugs. Oral corticosteroids may also be used.

Once the condition is under control, the dose of corticosteroids may be reduced. It may be necessary for the individual to continue on a low level of the medication until the condition resolves naturally. Rarely, intravenous hydrocortisone may be required.

What are the side effects of the treatments?

High doses of corticosteroids may cause a cataract, which is a clouding of the lens of the eye that causes vision problems. Corticosteroids may also cause diabetes and osteoporosis.

What happens after treatment for the disease?

The severity of the disease varies. It can appear as a mild inflammation. A more serious form of the condition is known as nodular scleritis, which involves clusters of cells. The most severe type is necrotizing scleritis, which causes tissue death. People with necrotizing scleritis often do not live longer than 5 years.

How is the condition monitored?

Someone with scleritis will have regular visits with the healthcare provider. Any new or worsening symptoms should be reported to the provider.