Rheumatoid arthritis and bilateral anterior staphylomata. These staphylomata have developed rapidly over a period of a year in a patient with grossly uncontrolled intraocular pressure from secondary glaucoma in Rheumatoid Arthritis with necrotising anterior scleritis, despite maximum tolerated medical therapy. Time for tubes. Where to put them?
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#anteriorstaphyloma #glaucomavignettes #secondaryglaucoma #scleritis #anteriorscleritis
