A RARE CASE REPORT OF SECONDARY OPEN ANGLE GLAUCOMA IN EPISCLERITIS

The relationship between episcleritis and glaucoma is less well defined in literature. Episcleritis typically appears by causing diffuse congestion and edema of an area of the episcleral tissue and the conjunctiva over it, without affecting the vision and produces discomfort rather than frank pain. It is differentiated from scleritis by the absence of pain and scleral thinning and the absence of uveal or corneal involvement. The low outflow facility suggests that increased episcleral venous pressure was not the mechanism of glaucoma. The response of the intraocular pressure and the outflow facility to steroid therapy suggests that inflammation of the angle structures was the pathogenesis of the raised intraocular pressure.