Scleromalacia perforans is a hypersensitivity type III reaction. It is necrotizing anterior uveitis without inflammation. Scleromalacia perforans is an autoimmune disease of episcleral and scleral vasculature. It is usually associated with other autoimmune conditions such as rheumatoid arthritis, Crohn’s disease, Wegener’s granulomatosis, SLE, and periarteritis nodosa. The most common presenting complain is irritation. The vision is unaffected. It is a painless condition. The discoloration of sclera is also noticed by the patients. There is no specific treatment of scleromalacia perforans. The management plan usually aims at treatment of underlying autoimmune disease. Reference: https://eyewiki.aao.org/Scleromalacia_Perforans#Symptoms Image via: https://www.longdom.org/open-access/scleromalacia-perforans-what-we-know-and-what-we-can-do-2155-9570-S2-009.pdf