The sclera is composed of connective tissue fibers which form the strong white wall of the eye. It is covered by the episclera, a thin layer of tissue containing many blood vessels that nourish the sclera. At the front of the eye, the episclera is covered by the conjunctiva.
Episcleritis is inflammation of the episclera which occurs in the absence of an infection. Episcleritis is usually mild and rarely progresses to scleritis. The cause is usually unknown, but certain diseases such as rheumatoid arthritis, Sjogren's syndrome, syphilis, herpes zoster and tuberculosis have been associated with episcleritis. It is a common condition.
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