Episcleritis is irritation and inflammation of the episclera, a thin layer of tissue covering the white part (sclera) of the eye. It is not an infection.
Exams and Tests
Your health care provider will do an eye exam to diagnose the disorder. Most of the time, no special tests are needed.
The condition most often goes away on its own in 1 to 2 weeks. Using corticosteroid eye drops may help ease the symptoms faster.
Episcleritis most often improves without treatment. However, treatment may make symptoms go away sooner.
In some cases, the condition may return. Rarely, irritation and inflammation of the white part of the eye may develop. This is called scleritis.
When to Contact a Medical Professional
Call your health care provider if you have symptoms of episcleritis that last for more than 2 weeks. Get checked again if your pain gets worse or you have problems with your vision.
Denniston AK, Rhodes B, Gayed M, Carruthers D, Gordon C, et al. Rheumatic disease. In: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. Ryan's Retina. 6th ed. Philadelphia, PA: Elsevier; 2018:chap 83.
Goldstein DA, Patel SS, Tessler HH. Episcleritis and scleritis. In: Yanoff M, Duker JS, eds. Ophthalmology. 4th ed. St Louis, MO: Mosby Elsevier; 2014:chap 4.11.
Yanoff M, Cameron JD. Diseases of the visual system. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 423.
Last reviewed on: 8/28/2018
Reviewed by: Franklin W. Lusby, MD, ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.