22nd August 2023

A 45-year-old female presents to her GP with complaints of severe pain in her left eye

A 45-year-old female presents to her GP with complaints of severe pain in her left eye, which she describes as deep and boring. She also mentions that the eye appears red. She has a history of rheumatoid arthritis. On examination, her left eye shows a violaceous hue of the sclera.

What is the most likely diagnosis?