Scleritis, Episcleritis Pearls -Scleritis is characterized by significant pain, pain with eye movement, vision loss, and vessels that do not blanch with phenylephrine. -Episcleritis is typically less painful with no vision loss. Vessels blanch with phenylephrine drops and can be moved by a cotton swab. -Management of scleritis involves ophthalmology consultation and steroids +/- topical antibiotics. Episcleritis is typically self-limited and does not require acute treatment. #Diagnosis #Ophthalmology #Scleritis #Episcleritis #ComparisonTable