Granulematous scleritis

Granulomatous scleritis: causes, symptoms and treatment

Scleritis granulomatosa (also known as granulomatous scleritis) is a serious condition that affects the eye. It is characterized by inflammation of the sclera, the tough outer layer of the eye. Granulomatous scleritis is a rare condition that requires immediate intervention to prevent possible complications and preserve the patient's vision.

The causes of granulomatous scleritis are not completely clear, but it is believed that immunological disorders and autoimmune processes may play a role in its development. Inflammation in the sclera causes the formation of granulomas - certain structures consisting of inflammatory cells. These granulomas cause changes in the structure of the sclera, which can cause pain and blurred vision.

Symptoms of granulomatous scleritis may include:

  1. Soreness of the eye, increasing with movement of the eyeball.
  2. Redness of the sclera.
  3. Sensation of sand or foreign body in the eye.
  4. Deterioration of vision.
  5. Photophobia - increased sensitivity to light.
  6. Headache.

The diagnosis of granulomatous scleritis can be established by an ophthalmologist based on a clinical examination and the results of special studies, such as eye biomicroscopy and scleral biopsy.

Treatment of granulomatous scleritis is aimed at eliminating inflammation and preventing complications. Your doctor may prescribe anti-inflammatory drugs, such as steroids or immunosuppressants, to reduce inflammation and control symptoms. In some cases, surgery may be required to remove the granuloma or restore the structure of the eye.

It is important to note that granulomatous scleritis requires serious medical intervention, and delaying treatment can lead to deterioration of vision and the development of complications such as glaucoma or cataracts.

If you suspect granulomatous scleritis or experience symptoms that indicate its presence, contact your eye doctor immediately for evaluation and appropriate treatment. Seeking medical care early can help preserve vision and provide the best chance for full recovery of eye health.



The sclera is the outer layer of the eyeball. Any inflammation of this membrane can cause serious impairment of visual function. The most common disease of the sclera is called scleritis.

- With the flow

1. Acute scleritis. Its duration does not exceed 3 months. The lesion is usually localized in the center or periphery of the sclera and is accompanied by blepharospasm, pericorneal injection, and decreased vision. The process goes away on its own or is cured conservatively. Rarely, acute scleritis turns into subacute, chronic scleritis, in which periods of remission are followed by periods of exacerbation. In chronic scleritis, inflammation is localized either in the area of ​​the pupil and cornea (anterior scleritis) or radially from its edge (posterior scleritis). 2. Subacute sclerosing syphilitic pannus-scleritis occurs in patients with neurosyphilis 5-15 years after infection. The process develops slowly and is accompanied by impaired visual acuity and pupillary reaction. Gradually, the sclera loses sensitivity, becoming similar to dry skin tissue. In most cases, anterior or posterior scleritis leads to optic atrophy and blindness. Posterior scleritis is rare, affecting only young men. The lesions are located