Sir,

Prompt diagnosis and aggressive management of scleritis are essential because of its association with sight and often life-threatening complications. We report a patient with anterior scleritis that appeared to be resistant to intensive immunosuppressive therapy. This, along with several other objective observations, eventually led to the diagnosis of self-inflicted (factitious) anterior scleritis. Factitious scleritis is a diagnosis of exclusion that should be considered in patients with any unexplained, nonresponding signs in the presence of incriminating findings.

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