Episcleritis

Brandy 820 posts Aug 06, 2010 5:34 PM	Need to know if we can work on someone who has episcleritis. She has bouts where she is okay, then it flares up again. She came in for her appointment and her eyes were very red and I sent her home. She wants eyeliner very badly but I'm wondering if just the pressure of tattooing and working around the eye can cause a flare up? I'm not too comfortable even with her doctors okay. What is Episcleritis? Episcleritis is an inflammatory condition of the episclera (the connective tissue between the conjunctiva and sclera in the eye). This type of eye inflammation, while bothersome and mildly uncomfortable, usually looks worse than it is and is not considered serious. In fact, Episcleritis usually disappears within 1 to 2 weeks without any medical treatment. Statistically, women are more affected by episcleritis than men and it characteristically occurs in people who are in their 30's and 40's. Episcleritis can sometimes develop into a recurrent problem and in rare cases, may even develop into scleritis.
Rozan 812 posts Aug 07, 2010 12:55 PM	Great question Brandy, others may certainly know here, but I would check with Yolanda Pena too. Dr. Yolanda Pena, CPCP, MD, Ophthalmologist ypenab ~ at ~ aol ~ dot ~ com ---------- Rose Ann Cloud, CPCP Permanent Cosmetics By Rozan www.RozanCloud.com
Maggie 1953 posts Aug 11, 2010 5:49 AM	Wow...new one for me here... never do anything you are uncomfortable with is my first line of defense. I would want a note from doc. Thanks for sharing.
OKTat2Makeup 455 posts Aug 14, 2010 9:50 PM	I was going to suggest Yolanda as well. She may be out of the country right now, may be in Spain? I know she was planning to spend some time there this year, and I am not sure if she is back, yet. Send her an email and ask. Let us know if you hear anything.
Brandy 821 posts Aug 15, 2010 11:11 AM	I did hear back from Yolanda. I'm just waiting to see if she will allow me to post her response. She is an amazing woman!
Brandy 822 posts Sep 01, 2010 6:40 PM	Yolanda has kindly responded that it is okay to post her reply to my question. It is as follows: In reference with you client: I understand that at this moment she has not an acute Episcleritis episode. Any how, as probably you know, many time "frequent episcleritis" is associated with autoimmune diseases as Rheumatoid Arthritis and others. Is she under a Dr. care? If so, it should not be a problem. Make her to have an ocular treatment from him, just in case or to use as preventive method. Better if also she can get a release form. The anti inflammatory effect of steroids as Prednisone, Prednisolone, Cortisone and related medications, may retard the healing process and their long term use (as probably she had before) may cause an increase in the intra ocular pressure. personally, during any trauma to the skin, I prefer the non steroid al medications as Voltarem etc; but that's her Dr. desicion. Try to do the less amount of pressure over her "eyeball" just to cover yourself. For the upper eyelid, anchor your finger at the superior orbital rim and with you Index finger make an indentation over the lash area so you will get an aversion of the eyelid and can tattoo the upper eyeliner doing the pressure over your finger and not over the eyes while the client keeps her eyes directed down to her feet. The same for the lower eyelid. Indent the border over your index finger anchoring the the thumb and the middle one to the inferior orbital rim while she looks up. I love this method for almost everyone! As far as I know, these episodes are related to the own disease cycles or due lowering of the autoimmune system, sun/ wind exposure and dental trauma or infections. May her to come with her Dr. prescribed eye drops and use them as he/she directed. During the procedure, use an over the counter 'tears natural GEL as Celluvisc" or similar, as the gel is thicker that the tears drops and will make a better " corneal & scleral protective layer. The use of ice 20 minutes on/off for the first day or two, and over the counter Benadryl 25 mg " at sleep time" may help with the inflammation and avoid a possible flare. I understand you are afraid. So if the Dr. say is ok and prescribe her medications you are covered. Really is your call. Personally. if a client of mine has not flare for a while and get non steroidal medication and a Dr release is ok with me. Best of luck. Please keep me update. By the way, I visited your web site and your work is marvelous, love your portraits, your devilish ladies, your black & whites. Its a master work. I wish I could do tattoo art. That is in my bucket list. Warmest regards, Last Edited on 1-Sep-2010 6:41 PM

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