Wegener's granulomatosis as a cause of cicatrising conjunctivitis
- Department of Ophthalmology, University Hospital Zurich, 8091 Zurich, Switzerland
- Wolfgang Bernauer, MD, OMMA Eye Center, Theaterstrasse 2, 8001 Zurich, Switzerland
- Accepted 15 November 2000
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.
A 72 year old man was first seen at our department in November 1997 with bilateral conjunctivitis. His medical …