Krzystolik Z, Fiedorowicz-Fabrycy I, Karczewicz D
II Kliniki Okulistyki PAM w Szczecinie.
Klin Oczna. 1993 May;95(5):183-6.
The authors present 10 patients treated for Wegener's granulomatosis. In 5 of of them (50%) the ocular changes were observed: in 3-infiltration of the orbit, including one case with infiltration of lacrimal ducts, and in 2-the recurrent bacterial conjunctivitis. On the account of the rareness of the disease and its various symptoms, the diagnosis, in some cases, was made fairly late. It was emphasized that the ocular lesions may be the first symptoms of Wegener's granulomatosis. The bacterial conjunctivitis, keratitis, scleritis, and orbital pseudotumor in patients with chronic respiratory tract and nasal sinuses changes should arouse suspicion of Wegener's granulomatosis and are an indication for detailed tests.
作者报告了10例接受韦格纳肉芽肿治疗的患者。其中5例(50%)出现眼部改变:3例眼眶浸润,包括1例泪道浸润,2例复发性细菌性结膜炎。鉴于该疾病罕见且症状多样,某些病例的诊断相当晚。强调眼部病变可能是韦格纳肉芽肿的首发症状。慢性呼吸道和鼻窦病变患者出现细菌性结膜炎、角膜炎、巩膜炎和眼眶假瘤应怀疑韦格纳肉芽肿,并提示需进行详细检查。