Fig. 6 Intercalary staphylomas are a result of long-standing episcleritis and scleritis secondary to leprosy. The frequent attacks may result in scleromalacia, scleral thinning, and staphylomas, as seen here. This patient also exhibits upper lid entropion from concomitant trachoma. The keratitis sicca, xerosis, and keratinization of the conjunctiva have also contributed to this patient's corneal blindness.