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. 2023 Jun 20;11(6):e7595. doi: 10.1002/ccr3.7595

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© 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Biomicroscopic images. Diffuse scleritis with massive peripheral corneal infiltration and crescent‐shaped corneal ulcer (arrows) on the nasal to inferior side in the right eye (A) and crescent‐shaped corneal ulcer (arrow) on the temporal to inferior side in the left eye (B) at referral to an ophthalmologist. In a month, note central corneal haze and infiltrates with inferior crescent‐shaped wide ulcer (arrows) in the right eye (C) and peripheral corneal infiltrates with inferior ulcer (arrow) in the left eye (D). In the following 3 weeks, the central cornea has been perforated in the right eye with the inferior wide ulcer (arrows, E) while the corneal ulcer is stable in the left eye (arrow, F). Four months after the referral, the right eye is stable with corneal opacity with iris incarceration (G) and the left eye is stable with healed corneal ulcer (H).