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Nodular episcleritis - External and Internal Eye
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Nodular episcleritis - External and Internal Eye

Contributors: Aditi Jani MD, Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
Other Resources UpToDate PubMed

Synopsis

Nodular episcleritis is a frequently recurring inflammatory condition of the episcleral tissue. Onset is usually acute and can be unilateral or bilateral. Nodular episcleritis, as opposed to diffuse episcleritis, implies a discrete area of elevated, inflamed episcleral tissue. Symptoms may be asymptomatic or include irritation, photophobia, tearing, and mild tenderness to palpation.

Most cases are idiopathic; however, 26%-36% of patients have an associated underlying systemic condition. Unlike the diffuse form of the disease, most episodes of nodular episcleritis are of a more indolent and longer duration, and may require topical and/or systemic treatment.

The incidence is higher in women and is more common in the fourth to fifth decades. Recurrences may be of either the diffuse type or the nodular type of episcleritis.

Codes

ICD10CM:
H15.129 – Nodular episcleritis, unspecified eye

SNOMEDCT:
70558001 – Nodular episcleritis

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

The most common differential diagnoses are those conditions producing a red eye:

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Therapy

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References

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Last Reviewed:03/12/2021
Last Updated:03/22/2021
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Nodular episcleritis - External and Internal Eye
Nodular episcleritis : Photophobia, Eye irritation, Recurring episodes or relapses
Clinical image of Nodular episcleritis
Copyright © 2021 VisualDx®. All rights reserved.