Parajuli, SSharma, SShrestha, RChapagain, S2026-01-262026-01-262025https://hdl.handle.net/20.500.14572/4372Parajuli S,1 Sharma S,2 Shrestha R,1 Chapagain S,1 1Reiyukai Eiko Masunaga Eye Hospital Banepa, Kavre, Nepal 2Mechi Eye Hospital Birtamode, Jhapa, NepalABSTRACT Marfan syndrome is an autosomal dominant, connective tissue disorder that affects various systems of the body including the eyes. We present a case of a 22 year old man with Marfan syndrome presented with a painful red left eye. On examination he was diagnosed to have non-necrotising scleritis and microspherophakia. Non-necrotising scleritis with microspherophakia is a rare and arduous situation. This is an interesting case where Hickam’s dictum prevails over its counter argument of Occam’s razor principle. KEY WORDS Marfan syndrome, Non-necrotising scleritis, Spherophakiaen-USMarfan syndromeNon-necrotising scleritisSpherophakiaArticle