Wegener’s granulomatosis can affect the eyes in several ways. People may develop
Conjunctivitis (inflammation of the conjunctiva, the inner lining of the eyelid)
Scleritis (inflammation of the scleral layer, the white part of the eyeball)
Episcleritis (inflammation of the episcleral layer, the outer surface of the sclera)
Mass lesion behind the eye globe
Symptoms in the eye include redness, burning, or pain. Double vision or a decrease in vision are serious symptoms requiring immediate medical attention.
• Blood chemistry tests and cell counts.• Analysis of urine, both chemistry and microscopic.• Imaging tests such as x-ray, MRI, and CT scan, which show lung infiltrates or nodules typical of granulomatosis or vascular tissue damage. • A CT virtual bronchoscopy can help identify stenosis and larynx problems. • Digital subtraction angiograpy (DSA) may be useful in identifying stenosis or other abnormalities caused by vasculitis.• Biopsy of the suspected granuloma and/or blood vessels or other affected tissues. • Biopsies may be required of tissues where there is persistent inflammation problems in one or more of the following organs, as listed below starting with the most frequent:
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