Further exploration of ocular manifestations in systemic immunologic and inflammatory disease continues to yield new information regarding the genetic associations, diagnosis, and treatment of these disorders. The use of color Doppler ultrasound to diagnose giant cell arteritis is reported to be of diagnostic promise. The prognosis of scleritis associated with systemic immunologic and inflammatory disease is recently highlighted in two articles. The treatment of scleritis and uveitis associated with inflammatory bowel disease is reviewed. Two reports of Vogt-Koyanagi-Harada syndrome in monozygotic twins provide further understanding of the genetic factors involved in this disease. Unusual presentations of sarcoidosis and Wegener's granulomatosis are also reported.