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)


About Dr Sarah

I'm a GP with a husband and two young children.
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