SCHLEROCHOROIDAL GRANULOMA IN WEGENERS GRANULOMATOSIS SIMULATING A UVEAL MELANOMA

Background: It is known that Wegener's granulomatosis may affect the e ye, but macroscopically visible granulomas in patients with this condi tion have not yet been described. Methods: Results of clinical, ultras ound, and histologic examination of a patient with Wegener's granuloma tosis are presented. Results: A sclerochoroidal granuloma in this pati ent simulated an uveal melanoma. It was not possible to unequivocally differentiate the lesion from a uveal melanoma on sonographic examinat ion, but histologic examination confirmed the diagnosis of sclerochoro idal granuloma. Conclusion: Macroscopically visible sclerochoroidal gr anuloma is another facet of Wegener's granulomatosis, and in some case s may be mistaken for uveal melanoma.