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What is Scleral Disease?

Published in Eye Health 2 mins read

Scleral disease refers to any condition that affects the sclera, the white part of the eye. This tough, fibrous tissue protects the delicate inner structures of the eye and maintains its shape.

Types of Scleral Diseases

There are various conditions that can affect the sclera, including:

  • Scleritis: This is an inflammation of the sclera, often causing pain, redness, and sensitivity to light.
  • Episcleritis: This is a less severe inflammation of the outer layer of the sclera, usually causing mild discomfort and redness.
  • Scleral thinning: This occurs when the sclera becomes thinner, potentially leading to bulging of the eye or vision problems.
  • Scleral degeneration: This involves a breakdown of the scleral tissue, often associated with aging or certain medical conditions.

Causes of Scleral Disease

The causes of scleral disease vary depending on the specific condition. Some common causes include:

  • Autoimmune diseases: Conditions like rheumatoid arthritis, lupus, and Sjögren's syndrome can trigger scleral inflammation.
  • Infections: Bacterial, viral, or fungal infections can affect the sclera.
  • Trauma: Injuries to the eye can damage the sclera.
  • Certain medications: Some medications, like steroids, can increase the risk of scleral thinning.

Symptoms of Scleral Disease

Symptoms of scleral disease can vary depending on the severity and type of condition. Some common symptoms include:

  • Redness of the eye
  • Pain and discomfort
  • Sensitivity to light
  • Blurred vision
  • Bulging of the eye

Diagnosis and Treatment

Diagnosing scleral disease usually involves a comprehensive eye exam and may include imaging tests like ultrasound or MRI. Treatment options depend on the underlying cause and severity of the condition. Some common treatments include:

  • Anti-inflammatory medications: These can help reduce inflammation and pain.
  • Immunosuppressant medications: These can help suppress the immune system in cases of autoimmune diseases.
  • Antibiotics: These can treat bacterial infections.
  • Surgery: In some cases, surgery may be necessary to repair the sclera or correct vision problems.

It's important to consult an ophthalmologist if you experience any symptoms of scleral disease. Early diagnosis and treatment can help prevent complications and preserve vision.

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