Sclera - Diseases of Sclera Copy of lecture taken by Dr...

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Diseases of Sclera Copy of lecture taken by Dr Kavita Kumar Associate Professor Department of Ophthalmology Gandhi Medical College Bhopal
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Dec 24, 2011 Kavita Kumar 2 Special features of Sclera Avascular Dense fibrous tissue Lack of reaction to insult Two types of inflammation - episcleritis and scleritis
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Dec 24, 2011 Kavita Kumar 3 Episcleritis Benign inflammatory affection of deep subconjunctival connective tissue and superficial scleral lamellae Mostly bilateral Dense lymphocytic infiltration Reaction to endogenous toxin Association with rhuematoid arthritis
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Dec 24, 2011 Kavita Kumar 4 Symptoms and Signs Young females Acute redness Mild pain No discharge Two types - simple or diffuse - nodular
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Dec 24, 2011 Kavita Kumar 5 Simple /diffuse episcleritis Sectorial or diffuse redness One or both eyes Mild to moderate tenderness over the area of redness Engorgement of large episcleral vessels which run in radial direction beneath the conjunctiva
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Dec 24, 2011 Kavita Kumar 6 Nodular Episcleritis Features Circumscribed nodule as large as lentil 2-3 mm away from limbus Hard tender immovable Conjunctiva moving freely over it Traversed by deeper episcleral vessels hence purple in colour not bright red Tenderness, discomfort and sometimes neuralgia
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Nodular Episcleritis Features Longer time to resolve Can pass on to scleritis Temporal location Chronic course and strong tendency to recur Dec 24, 2011 Kavita Kumar 7
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Clinical Photograph of Episcleritis From Dr Sanjay Shrivastava’s collection
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Clinical Photograph of Episcleritis (under treatment) From Dr Sanjay Shrivastava’s collection
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Nodular Episcleritis Fleeting attacks and frequently repeated – called EPISCLERITS PERIODICA FUGAX Heals and leaves a slate coloured scar with conjunctiva adhered to it Cornea and uveal tract are rarely involved Dec 24, 2011 Kavita Kumar 10
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Dec 24, 2011 Kavita Kumar 11
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Sclera - Diseases of Sclera Copy of lecture taken by Dr...

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