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The International Journal on Orbital Disorders, Oculoplastic and Lacrimal Surgery
Volume 28, 2009 - Issue 2-3
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CASE REPORTS

Yellow Lid Sign in Wegner's Granulomatosis

Aruna Dharmasena Leicester Royal Infirmary University Hospitals of Leicester NHS Trust, NHS Trust, Infirmary Square, Leicester, LE1 5WW
, MBBS, MRCOphth, MRCSEd(Ophth),
Katya Tambe Leicester Royal Infirmary University Hospitals of Leicester NHS Trust, NHS Trust, Infirmary Square, Leicester, LE1 5WW
, MS, DNB, FRCSEd(Ophth),
Nitant Shah Leicester Royal Infirmary University Hospitals of Leicester NHS Trust, NHS Trust, Infirmary Square, Leicester, LE1 5WW
, MBBS, MS, MRCSEd(Ophth),
Laurence Brown Leicester Royal Infirmary University Hospitals of Leicester NHS Trust, NHS Trust, Infirmary Square, Leicester, LE1 5WW
, FRCPath,
Ram Vaidhyanath Leicester Royal Infirmary University Hospitals of Leicester NHS Trust, NHS Trust, Infirmary Square, Leicester, LE1 5WW
, DMRD, DNB, FRCR &
Raghavan Sampath Leicester Royal Infirmary University Hospitals of Leicester NHS Trust, NHS Trust, Infirmary Square, Leicester, LE1 5WW
, MBBS, DO, FRCS, FRCOphth
Pages 194-195 | Received 12 Aug 2008, Accepted 11 Mar 2009, Published online: 13 Aug 2009
 
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Abstract

Orbital manifestations in Wegener's granulomatosis develop in over 50% of patients. Ischemic vasculitis and optic nerve compression result in visual impairment. This case report highlights the importance of the yellow lid sign in the diagnosis of orbital granulomatosis as well as provides an explanation for the reversal of this phenomenon.

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