A 71-year-old woman without substantial medical history was referred for 2 months of progressive worsening of vision and pain in her right eye despite corticosteroid treatment following a recent excisional conjunctival biopsy with cryotherapy at an outside institution for suspected squamous cell carcinoma in situ. Pathology was reported to be negative for malignancy. The patient noted postoperative pain that was suspected to be postsurgical inflammatory scleritis and managed by an outside ophthalmologist with a combination of topical prednisolone, oral prednisone, and subtenon triamcinolone acetonide.