Scleritis with Devastating Consequences
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A 40-year-old man with a history of recurrent scleritis and corticosteroid-induced glaucoma developed a blind, painful eye with corneal and scleral ectasia. Histopathology revealed an enlarged globe with exceptionally thin sclera and a chronic funnel retinal detachment. Severe lymphoplasmacytic inflammation with dilated, engorged vessels was seen throughout the conjunctiva. A fibrovascular membrane and hyphema covered the trabecular meshwork, iris, and pupil causing angle closure and pupillary occlusion. Fibrous metaplasia of the lens epithelium was also present. Scleritis is a complex ocular inflammatory condition with the potential for sight-threatening complications.

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