When should I refer a patient with scleritis to an ophthalmologist?

You should refer a patient with scleritis to an ophthalmologist in several situations:

• If symptoms persist despite primary care management ¹.
• If other diagnoses need to be ruled out ¹.
• To prevent rare complications, such as sight-threatening keratitis ¹.
• Immediately (same-day) if there is severe eye pain and a significant reduction in vision ².
• Immediately (same-day) if there is a significant reduction in vision, severe pain, or significantly raised intraocular pressure ².
• Immediately if there is eye pain with vision loss ².
• If there is an uncertain diagnosis ³.
• If symptoms do not respond to primary care management ³.