Questionnaire/history: Acute onset of secretoral or diffuse redness (simple episcleritis (80%))? Nodule (mild elevation of the conjunctiva) with injection (nodular episcleritis (20%))? Mild ache or burning sensation? Tender on palpitation (sometimes)? Occasional watery discharge, no other discharge? Symptoms recurrent (commonly)? Symptoms unilateral or bilateral (25-50%)? Other associated ocular symptoms? Past medical history? - Systemic disorder (eg collagen vascular diseases (eg rheumatoid arthritis, SLE, IBS) (up to one third))? Current medication? Drug allergies? Examination: Hyperaemia from dilated episcleral vessels following a regular radiating pattern? Sectoral or diffuse? Nodule (mild elevation of the conjunctiva) with injection? Anterior chamber reaction (typically note)? Corneal or palpebral conjunctival involvement (usually not)? Visual acuity normal? Management: Advised: - Usually self-limiting in 7-10 days - Cold compress - To seek medical advice if symptoms persist Reference(s): The College of Optometrists: Episcleritis EyeWiki: Episcleritis Information for patient/carer(s): Patient UK: Episcleritis and Scleritis