[Wegener's granulomatosis--a case report].

Area of Science:

• Ophthalmology
• Rheumatology
• Internal Medicine

Background:

• Wegener's granulomatosis, a systemic vasculitis, can affect multiple organs.
• Ocular manifestations are a known but varied complication of this condition.

Observation:

• A 56-year-old patient with Wegener's granulomatosis presented with significant bilateral ocular findings.
• These included severe anterior and posterior scleritis, proptosis, restricted eye movement, diplopia, and evolving retinal changes.

Findings:

• The patient exhibited granulomas in the airways and renal involvement, consistent with Wegener's granulomatosis.
• Ophthalmoscopic examination revealed bilateral scleritis, proptosis, and serous retinal detachment, which ultimately improved.

Implications:

• This case highlights the diverse spectrum of ocular manifestations in Wegener's granulomatosis.
• It underscores the necessity of a multidisciplinary approach for accurate diagnosis and effective treatment of patients with this disease.