The following case of scleritis is of interest in that the condition has persisted for 18 yr. and is accompanied with unusual corneal opacities. It has also provided an unusual opportunity to try a variety of therapeutic procedures. It appears to be clinically the same entity as that described by Uhthoff1 as a manifestation of gout, but this etiology is not borne out either by biopsy or by therapeutic response in the present case.
A housewife aged 51 has had recurrent redness and severe pain of both eyes for the past 18 yr. These attacks occurred at first at intervals of several weeks, but during the past 10 yr. they have recurred at intervals of 8 to 14 days, affecting usually one eye at a time, each episode lasting about one week.
The patient had been well prior to the present difficulty except for rheumatic fever 22 yr. ago
Cogan DG. RECURRENT BILATERAL SCLERITIS OF MANY YEARS' DURATION WITH UNUSUAL CORNEAL INFILTRATION (FAT?). AMA Arch Ophthalmol. 1951;46(3):341-342. doi:10.1001/archopht.1951.01700020350012