Indications for ophthalmological referral are:
- Recurrent cases (routine)
- Bilateral cases (routine)
- Severe pain (urgent)
- Visual loss (doesn’t say)
Also look for any symptoms of connective tissue/systemic disease, in which case referral should be to a rheumatologist.
The eyeball should not be tender on palpation. Tenderness can indicate scleritis rather than episcleritis.
Routine cases can take 4 – 6 weeks to resolve but are self-limiting. Ocular lubricants, cold compresses, and NSAIDs can help symptoms.
(This comes from an article in Pulse, October 5th)