Bilateral necrotizing scleritis.

A 53-year-old woman whose history was noncontributory for rheumatoid arthritis and collagen disease had bilateral necrotizing inflammation of the sclera. The left eye had necrotizing nodular scleritis and the right eye, massive granuloma of the sclera. In the right eye the orbital adnexae were also involved by granulomatous infiltration and developed a mass of fibroadipose tissue simulating an orbital tumor within a week after enucleation.