Wegner’s Granulomatosis Revealed by Exophthalmos

Ophthalmic involvement is frequent, between 30% and 70% of patient’s present ophthalmic symptoms during the course of Wegner’s granulomatosis. Orbital disease may present initially before the onset of systemic manifestations in only 8 to 16% of patients and it could delay final diagnosis. We report a case illustrates the diagnosis of Wegner’s granulomatosis presenting with proptosis (exophthalmos) of the orbit. Patient was treated with corticosteroid and intravenous cyclophosphamide (CYC) with good response. This case emphasizes early diagnosis and treatment to avoid further complications.