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Scleritis is associated with an underlying systemic disease in up to 50% of cases, most commonly Wegener granulomatosis and rheumatoid arthritis, and less commonly infectious, or rarely neoplastic due to direct scleral infiltration by leukemic cells1 or squamous cell carcinoma of the conjunctiva.2 Necrotic choroidal and ciliary body melanomas can also induce scleritis.3
We describe a patient who presented with localised anterior scleritis as the presenting sign of metastatic adenocarcinoma of the lung.
A 69-year-old white man had left eye pain for 5 weeks. He was initially treated with prednisolone acetate 1% (PredForte, PF), but the pain did not subside, and he was referred for evaluation and …