Scleritis is the inflammation of the sclera
and requires steroid eye drops. Antibiotic eye drops do not help in this condition neither do oral antibiotics.
You must continue with steroid eye drops, prednisolone eye drops once every 3-4 hours during waking hours.
Oral NSAID like tab.Indomethacin 50 mg twice is effective. Oral steroids
can be added in those in whom NSAID are not effective.
Ultrasound of the eye is required in scleritis in which posterior scleritis is suspected (as in 20% of cases of scleritis) . A scleral thickening is confirmatory of posterior scleritis if found on ultrasonography.
Scleritis can be associated with various systemic conditions like rheumatoid arthritis, wegener's granulomatosis, polyarteritis nodosa and systemic lupus erythematosus.
As of now you must use steroid eye drops, oral NSAID and or oral steroids and discuss with the ophthalmologist
about the dosage. It is better to undergo Ultrasonography as it helps in the diagnosis( and to differentiate conditions similar to posterior scleritis like uveal effusion syndrome, orbital inflammatory disease).
Thanks and best wishes
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