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Orbit
The International Journal on Orbital Disorders, Oculoplastic and Lacrimal Surgery
Volume 27, 2008 - Issue 4
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CASE REPORTS

A Complex Orbit

, , FRCOphth & , FRCP
Pages 297-299 | Received 18 Jan 2008, Accepted 14 Apr 2008, Published online: 08 Jul 2009
 

Abstract

Wegener's Granulomatosis (WG) in its limited form can be a challenging diagnosis. ANCA, radiological investigations and histology should be interpreted in light of clinical findings. A delay in diagnosis can have profound visual consequences. Immunosuppressive therapy and co-morbidities can mask signs of orbital sepsis. A low threshold for further exploration and biopsy should be maintained if an orbital abscess is suspected. This report describes a complex case of WG that illustrates the diagnostic and therapeutic challenges inherent in this form of orbital inflammatory disease.

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