Suneetha Nithyanandam, Shubashree Karat, Lizbeth Renny, Neelima Mathew*
Scleromalacia perforans is a bilateral severe form of necrotizing scleritis which is potentially serious and may lead to blindness. This condition is known to be associated with Rheumatoid arthritis in the majority of the patients. A delay in diagnosis and treatment can lead to serious ocular and systemic complications. We report a case of scleromalacia perforans with scleral perforation as the presenting sign of rheumatoid arthritis and its management and outcome.