A Dangerous Red Eye in an RA Patient

Explore the case of a 73-year-old woman with rheumatoid Arthritis who presents with severe eye pain, inflammation, and scleral thinning. What’s the diagnosis?

Necrotizing anterior scleritis


A 73-year-old woman with rheumatoid arthritis presented with a 1-month history of pain in her right eye. She had stopped immunosuppressive treatment a few years earlier. There was no recent history of trauma. Slit-lamp examination showed hyperemia, inflammation, and marked scleral thinning with exposure of the underlying choroid. What is the most likely diagnosis?

What is the most likely diagnosis?

Necrotizing anterior scleritis
Posterior scleritis
Hyphema
Conjuctival hemorrhage
Acute angle closure glaucoma

Eye Pain, Necrotizing anterior scleritis, Ophthalmology, Rheumatoid arthritis, Scleritis

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