Scleritis Following Pterygium Excision: Infection, Autoimmunity, or Both?

The term scleritis refers to a heterogeneous group of disorders characterized by a chronic inflammatory response centered on the sclera and often involving adjacent structures such as the episclera, cornea, and uvea. It is an uncommon but severe, painful, and potentially blinding ocular disease and may occasionally result in perforation of the globe. Through a case report of severe scleritis that occurred after pterygium surgery, the authors expose diagnostic difficulties and emphasize the need for a meticulous diagnostic approach in such a condition.