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It's possible that you might get a small rebound effect but it should last only one day and it should go right back to normal.
You can start taking advil or motrin starting today and continue it for another 2-3 days after steroids are completed which will prevent the rebound effect.
Take 600mg 4x per day for 3 days if you have no problems with that medicine and no kidney issues.
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M. Ashori MD
Your eyes are still sensitive, it's a little early to get back into contacts.
Use some artificial tears for a few days before getting back to contacts.
Also, try those anti-inflammatories which I recommended, they will help.
The redness isn't the episcleritis coming back, it's just the contacts likely being still a bit too harsh as your eye is healing.
Steroids tend to think the skin, even the episclera or conjunctiva, so it's easier for them to get dry when using contacts.
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I see, so it would probably be good to have the steroids on hand in case it does happen again even after this time.
It can recur but usually only after that initial treatment, that's the rebound effect I was mentioning.
However, there are a very small percentage of people that get recurrent ES... usually due to stress.
The good news is that future outbreaks aren't as severe as your first and initial one.
It is rarely recurrent however it can come back a few times in your lifetime, likely no more than 2-3x. But it's not like something that you would get every month.
No, you wouldn't be kept on it longterm, it would be something that would be treated for each outbreak.
Sometimes you just have to try to experiment with longer courses until it doesn't return.
I hope you and your doctor can figure out the right regimen.