Wegener granulomatosis causing compressive optic neuropathy in a child. Ophthalmic Plast Reconstr Surg 2009;25(4):327-8
Date
07/21/2009Pubmed ID
19617801DOI
10.1097/IOP.0b013e3181aad90dScopus ID
2-s2.0-69449095521 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
Wegener granulomatosis is an uncommon illness in children that is known to cause myriad ophthalmic complications, but it is rarely a cause of compressive optic neuropathy. A 17-year-old Hispanic boy with Wegener granulomatosis developed unilateral loss of vision, pain, and proptosis of the left eye. CT findings revealed enlargement of bilateral lacrimal glands with compression of the left optic nerve. The patient was admitted for high-dose intravenous corticosteroids and daily oral cyclophosphamide treatment. The patient's vision, pain, and proptosis improved dramatically, and he is now stable on mycophenolate mofetil and prednisone.
Author List
Aakalu VK, Ahmad AZAuthor
Vinay Kumar Aakalu MPH, MD Chair, Professor in the Ophthalmology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentCyclophosphamide
Diagnosis, Differential
Follow-Up Studies
Granulomatosis with Polyangiitis
Humans
Immunosuppressive Agents
Infusions, Intravenous
Male
Nerve Compression Syndromes
Optic Neuropathy, Ischemic
Tomography, X-Ray Computed
