In episcleritis, which treatment is listed?

• A. PFATs, Loteprednol 0.5% qid and/or Ibuprofen 400mg tid
• B. Prednisolone acetate 1% ophthalmic drops four times daily
• C. Antibiotic drops only
• D. Artificial tears alone

Answer: (A)

Episcleritis is managed by reducing inflammation while keeping the eye comfortable. Using preservative-free artificial tears helps with irritation and dryness, and a mild topical corticosteroid like loteprednol 0.5% four times daily directly addresses the inflammatory process. Adding an oral NSAID such as ibuprofen 400 mg three times daily provides additional pain relief and anti-inflammatory effect if needed. This combination covers both symptom relief and inflammation control, making it the most appropriate plan. Antibiotic drops aren’t needed for a noninfectious inflammatory condition, and artificial tears alone don’t treat the inflammation, while a stronger steroid alone can carry more risks without adding lubrication or analgesia.