Idiopathic Anterior Scleritis in Pediatric Patients: A Report of Two Cases

This study presents two cases of idiopathic anterior scleritis in young female patients, one of whom progressed to necrotizing scleritis. Both cases posed significant diagnostic challenges and ultimately required immunomodulatory therapy after their respective inadequate responses to the initial standard treatments. Despite comprehensive laboratory evaluations, no underlying systemic etiology was identified in either patient. Pediatric anterior scleritis is extremely rare, and these cases underscore the importance of its early recognition and appropriate management to prevent sight-threatening and systemic complications.