PURPOSE: To describe a case of Nocardia scleritis, an unusual ocular i
nfection. METHODS: Case report and review of pertinent literature. RES
ULTS: An 83-year-old man with leukocytoclastic vasculitis was initiall
y examined for infectious necrotizing scleritis after explantation of
an extruded scleral buckle. The patient was successfully treated with
sulfonamides. CONCLUSIONS: Nocardia asteroides may cause infectious sc
leritis in the absence of cataract surgery or trauma. Treatment with s
ulfonamides can result in a satisfactory outcome.