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When differentiating episcleritis from scleritis, clinicians often use the phenylephrine blanching technique: blanching congested conjunctival and superficial episcleral blood vessels with either the 2.5% or the 10% concentration. 1-4 When the deep episcleral plexus does not blanch, the diagnosis is usually scleritis. If the redness does disappear, it’s episcleritis. But sometimes the answer ...
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