Necrotizing scleritis

Unlike the more commonly encoimtered episcleritis, inflammation of the sclera is relatively rare, painfiil, and capable of extensive and permanent tissue and visual destruction. Scleritis is characterized by an immime-mediated vasculitis and inflammatory cell infiltration of the sclera and episclera. Scleritis usually occurs in the fiaurth to sixth decades of life but can be seen at any age. Peak incidence fi>r men is in the fiaurth decade, whereas there are two peaks for women the third and sixth decades. Diffuse scleritis shows a 1 1 distribution, whereas the other forms, particularly necrotizing and posterior scleritis, show a female predilection. Scleritis presents bilaterally about 50% of the time, and unilateral presentations usually... 

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