Editor,—Wegener's granulomatosis is a multisystem disorder characterised by the classic triad of necrotising granulomas in the upper respiratory tract and the lung, a variable degree of systemic small vessel vasculitis, and a focal necrotising glomerulonephritis.1 A limited form of Wegener's granulomatosis, with absence of glomerulonephritis, has been described.2

Ophthalmic complications occur in about 30% of patients with biopsy proved disease.3 Among these orbital pseudotumours ulcerations of the sclera and the cornea are observed most frequently and the histopathological findings have been described.3Involvement of the conjunctiva and eyelids has also been observed,4 but progressive scarring of the conjunctiva and its sequelae has not been reported.