Episklerit - it is an inflammation of an episkleralny plate of an eye. It is clinically shown by the unilateral reddening moderated by discomfort in an eye, local morbidity, a slezootdeleniye. In the course of diagnosis apply visual survey, a vizometriya, a tonometriya, refractometry, computer perimetry, biomicroscopy by means of a slot-hole lamp. Use laboratory diagnostics for detection of possible main pathology. Treatment of an episklerit conservative, consists in purpose of the nonsteroid anti-inflammatory medicines moisturizing and antibacterial drops. In the absence of complaints therapy is not required. The forecast is favorable.
Episklerit - it is an inflammatory disease of an eyeball at which the episkleralny cover is surprised. Episklera is a blanket of the skleralny capsule of an eye, has friable structure and rich blood supply (supports two vascular networks – superficial and deep). Episklerit can proceed in two forms – simple and nodular. The simple form arises at persons of young age more often, nodular, as a rule, strikes patients 50 years are more senior. The recidivous current is peculiar to Episklerit. The disease practically never passes into true sklerit. It is often combined with autoimmune violations in an organism. Defeat is usually unilateral, but maybe bilateral. Pathology meets in practical ophthalmology everywhere.
Causes of an episklerit
The pathogenesis of an episklerit is up to the end not found out. It is known that inflammatory reaction extends on an episkler from blood system. Refer hit of a foreign matter in an eyeball, impact of various chemicals on eyes, existence of a polyvalent allergy to risk factors of development of an episklerit. The disease often arises as an ophthalmologic complication at rheumatoid arthritis, gout, system red a wolf cub, ulcer colitis, a disease Krone, Lyme's disease, tuberculosis and others. At some pathologies (a disease Krone, nonspecific ulcer colitis) inflammatory reaction on an episkler can appear slightly earlier, than symptoms of the main disease that complicates diagnostics.
Symptoms and diagnostics of an episklerit
At an episklerita patients show complaints to unilateral reddening, feeling of weight in an eye, morbidity, dacryagogue. Decrease in visual acuity is uncharacteristic. Idle time episklerit – the most widespread type of pathology, is followed by sectoral, more rare diffusion hyperaemia. Usually passes independently within two weeks. The nodular form is characterized by the narrow speaker a hyperemic small knot which is allowed till four weeks. At biomicroscopy by means of a slot-hole lamp the ophthalmologist reveals lack of swelling skler. Owing to a frequent recurrence of an episklerit blankets skler begin to be reconstructed in parallel ranks, as a result the skleralny cover becomes more transparent.
The ophthalmologist also applies the following methods of inspection to diagnostics of an episklerit: visual survey, vizometriya, tonometriya, refractometry, computer perimetry. From additional methods appoint laboratory blood tests: specific tests (test to Mant, Wasserman's reaction, the analysis to HIV infection), fluorography, and also define the immune status. Taking into account that episklerit is a complication of various diseases, consultations of other experts – the rheumatologist, the infectiologist, the endocrinologist, the allergist are necessary for exact diagnostics and treatment.
Treatment and prevention of an episklerit
Treatment of an episklerit only conservative – medicamentous and physiotherapeutic. Basic therapy is directed to correction of the main pathology. In the absence of complaints of the patient special medicinal therapy of an episklerit is not required. In the presence of complaints the nonsteroid anti-inflammatory medicines in the form of drops (recommend frequent instillations by short-term faltering courses) moisturizing drops are usually appointed. If necessary use antibiotics. Physiotherapeutic procedures include purpose of UVCh-therapy to area of an eye. The forecast depends on the main disease, favorable is more often.
Actions for prevention of pathology assume use of protective equipment for eyes during the work on chemical productions, timely identification and purpose of competent therapy at chronic diseases, passing of regular routine inspections, observance of rules of personal hygiene and strengthening of immune system.