Episcleritis is a self-limiting disease producing little or no permanent damage to the eye. Therefore, many if not most patients with episcleritis will not require any treatment. However, some patients with mild symptoms will demand treatment and may benefit from the use of artificial tears. Occasionally, a clear history of an exogenous sensitization can be obtained, and removal of this agent will prevent recurrent attacks. Ocular Therapy Simple episcleritis often requires no treatment.
Artificial tears are useful for patients with mild-moderate symptoms.
Nodular episcleritis is more indolent and may require local corticosteroid drops or anti-inflammatory agents. If nodular episcleritis is unresponsive to topical therapy, systemic anti-inflammatory agents may be useful. Sunglasses may be useful for patients with sensitivity to light. The duration of treatment will vary from a few days to several weeks, according to therapeutic response. Instill one or two drops in the conjunctival sac every hour during the day and every two hours during the night as initial therapy.