How would you approach the management of dry corneal melt in a patient requiring high dose systemic steroids and no apparent underlying systemic autoimmune disease?   

A corneal melt is a rare condition in which the cornea thins, usually at its periphery, which is the junction between the cornea and the sclera. A healthy cornea is avascular, but an array of antigen-presenting cells (APCs) is present at the corneal-scleral junction, presumably acting like guards to...