Brief Answer: Recurrrent episcleritis is a inflammatory conditio Detailed Answer: Hello Welcome to health care magic. I am Dr Dadapeer,an ophthalmologist and I answer health problems related to eye. It seems from the history that you are having recurrent episodes of episcleritis and you are on treatment with eye drops containing steroids and non steroidal antiinflammatory drugs. Since you are using the eye drops like nepalact which is an non steroidal antiinflammatory drug and FML containing steroids you can continue the same treatment. Episcleritis is known to be a recurrent disease and it usually affects middle aged females. However not all episcleritis are associated with systemic inflammatory diseases of which tuberculosis is one. But recurrent cases require evaluation to rule out association with chronic inflammatory diseases and autoimmune diseases. Since the lab tests also show the same with elevated ESR and RA factor you require further testing. However treatment is same and do continue it. Hence I advice you not to worry as the association is less but it is worth to evaluate, hence I advice you to undergo tests as advised by your doctor. Hope the information is helpful to you. Thank you

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