How would you treat corneal melt (in the absence of peripheral arthritis) in rheumatoid arthritis?

Corneal melt is a rare, but serious complication of rheumatoid arthritis. It usually occurs in patients who are sero-positive with active joint disease. A viral infection such as herpes simplex could cause a corneal ulcer that would mimic an immune-mediated melt. It is critical to communicate with the ophthalmologist to be sure that the patient is responding to immuno-suppressive treatment and that infection is not likely. The absence of peripheral arthritis (I assume that this means that the RA...