Nodular scleritis with strongly positive serum rheumatoid factor: forme frusté rheumatoid arthritis sans arthritis

A 56-year-old woman presented with a solitary painful nodule right eye for 3 days along with intense photophobia. There was a documented history of two previous episodes of scleritis. Visual acuity was 20/20 in both eyes. Ocular examination revealed a severely tender raised erythematous lesion over