A 69-year-old woman presented to an outside provider with foreign body sensation and irritation in the right eye for 3 days.
She had a medical history of rheumatoid arthritis and systemic lupus erythematosus and was on monthly infliximab infusions, hydroxychloroquine and maintenance prednisone. She had an ocular history of three penetrating keratoplasty surgeries and was on topical prednisolone acetate 1%.
The patient denied any recent history of trauma. Review of symptoms was positive for recent joint inflammation/flares, which was treated with an oral steroid taper, and she was currently