Scleritis Diagnosis and Treatment

If you have symptoms of scleritis, you should see an ophthalmologist as soon as possible. Without treatment, scleritis can lead to vision loss.

During your exam, your ophthalmologist will:

• look at the inside and outside of your eye using a special microscope called a slit lamp
• ask you about your overall health

Your ophthalmologist may work with your primary care doctor or a rheumatologist (doctor that treats autoimmune diseases) to help diagnose you. Blood, imaging or other testing may be needed.

How Is Scleritis Treated?

Scleritis needs to be treated as soon as you notice symptoms to save your vision.

Treatment varies depending on the type of scleritis. Treatment can include:

• corticosteroid pills (medicine to control inflammation)
• nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin or ibuprofen for pain and inflammation
• eye solutions or antibiotics
• immunosuppressive drugs (drugs that weaken the response of the immune system) when the condition is severe

In severe cases, surgery may be needed. This can help repair the eye and stop further loss of vision.

When scleritis is caused by another disease, that disease also needs treatment to control symptoms. Keep in mind that despite treatment, scleritis may come back. It’s important to see your ophthalmologist and other doctors regularly for the most effective treatment.