Atypical Corneal Infiltrates and Posterior Scleritis in a Case of Rheumatoid Arthritis

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune disorder which can present with ocular complications like peripheral corneal ulcer, dry eye or scleritis. We report a rare case of posterior scleritis in a female with RA who was misdiagnosed as episcleritis. She presented with pain and redness in right eye for 2 months associated with atypical corneal infiltrates which were different from the typical peripheral ulcerative keratitis of RA. Prompt diagnosis and treatment in consultation with rheumatologist led to resolution of infiltrates and scleritis in a month. This case highlights the association of atypical corneal infiltrates and posterior scleritis with RA.