A case of a patient with necrotizing scleritis of both eyes who had been under medical observation and who had undergone medical treatment for five years is described. During the first manifestation of his disease in spite of medical treatment the right eyeball ruptured and was removed. After four years scleritis in the left eye started. An intensive pulsating steroid therapy was used due to which the remission of this disease was obtained. This method of treatment of necrotizing scleritis with unknown etiology seems to be the most efficient.