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The classic type of Wegener’s granulomatosis is characterised by necrotising granulomatous lesions of the upper and lower respiratory tracts, generalised focal necrotising vasculitis and glomerulonephritis, whereas the limited type has no renal involvement.1 Ocular manifestations occur in 30–50% of the patients,1 with retinal involvement less frequent and varying from 1 to 13% in the literature.2,3 We report a case of Wegener’s granulomatosis presenting with a central retinal vein occlusion (RVO) without clinical evidence of intraocular inflammation or retinal vasculitis.
A 22-year-old white man presented with a 1-week history of intermittent obscuration of vision in his right eye. His medical history was remarkable for classic Wegener’s granulomatosis that had been in remission for the past year. His best-corrected visual acuities were 20/25 in the right eye and 20/20 in …