Vitreous hemorrhage from a ciliary granuloma associated with Wegener granulomatosis

PURPOSE: To report a case of vitreous hemorrhage from ciliary granuloma in Wegener granulomatosis. METHODS: Interventional case report. An 18-year-old woman with Wegener gran ulomatosis and episcleral granuloma in her LE had ultrasound biomicroscopy findings of a mass in the pars plana. of the ciliary body in the meridian c orresponding to the episcleral granuloma. RESULTS: The patient underwent vitrectomy in the LE for subsequent vitreous hemorrhage. Intraoperatively, the mass was diagnosed as a ciliary granulom a at the pars plana. Dense blood clotting around the ciliary granuloma and subretinal exudation at the ora serrata were observed, with no other change s causative for the vitreous hemorrhage. CONCLUSIONS: We report a case of vitreous hemorrhage associated with a cili ary granuloma that was revealed by ultrasound biomicroscopy. Careful observ ation is necessary in eyes with persistent inflammation in Wegener granulom atosis. (C) 2001 by Elsevier Science Inc. All rights reserved.