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Management

Authoring team

Most cases are self-limiting. Artificial tears may be useful in mild irritation (1).

The treatment of choice is an oral non-steroidal anti-inflammatory drug (NSAID). If these are not appropriate a topical NSAID such as Ketorolac trometamol may be appropriate.

  • a randomised, double-blind study (2) has reported that topical ketorolac is not significantly better than artificial tears in the management of idiopathic episcleritis.

If this treatment does not keep the eye comfortable, the patient should be seen in the local ophthalmology clinic within 2-3 days.

Topical steroids such as dexamethasone eye drops are successful, but risk the complications associated with the use of steroid eye drops.

Reference:

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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