What is the urgency of episcleritis?

• A. Immediate referral if vision is threatened.
• B. Not an emergency; often self-limited.
• C. Urgent antibiotics.
• D. Always indicates systemic disease.

Answer: (B)

Episcleritis is an inflammation of the superficial episclera and typically behaves as a benign, self-limited condition. The urgency is low because vision is usually preserved, and pain is mild or only uncomfortable. Most cases resolve on their own within a couple of weeks and respond to simple measures such as artificial tears for irritation; no antibiotics are needed. If symptoms are bothersome, a short course of topical anti-inflammatory drops can help, but urgent or emergency care isn’t required unless red flags appear. Seek immediate evaluation if there is sudden vision change, severe or deep eye pain, significant photophobia, or signs suggesting a more serious problem like scleritis or uveitis, or if systemic symptoms raise concern for an underlying systemic inflammatory condition.