Rheumatoid arthritis is an autoimmune condition that can have various ocular manifestations, with one of the notable complications being scleromalacia perforans.
This condition occurs as a result of inflammation and thinning of the sclera, particularly associated with systemic autoimmune diseases like rheumatoid arthritis. It is characterized by a painless, non-inflammatory thinning of the sclera, which can lead to severe complications such as perforation.
Given the patient's diagnosis of rheumatoid arthritis, and upon examining the image provided, the correct associated complication is scleromalacia perforans. This option aligns with the autoimmune nature of the underlying disease and its ocular presentations.