Vitreous hemorrhage from a ciliary granuloma associated with Wegener granulomatosis.
OBJECTIVE
To report a case of vitreous hemorrhage from ciliary granuloma in Wegener granulomatosis.


METHODS
Interventional case report. An 18-year-old woman with Wegener granulomatosis and episcleral granuloma in her LE had ultrasound biomicroscopy findings of a mass in the pars plana of the ciliary body in the meridian corresponding to the episcleral granuloma.


RESULTS
The patient underwent vitrectomy in the LE for subsequent vitreous hemorrhage. Intraoperatively, the mass was diagnosed as a ciliary granuloma at the pars plana. Dense blood clotting around the ciliary granuloma and subretinal exudation at the ora serrata were observed, with no other changes causative for the vitreous hemorrhage.


CONCLUSIONS
We report a case of vitreous hemorrhage associated with a ciliary granuloma that was revealed by ultrasound biomicroscopy. Careful observation is necessary in eyes with persistent inflammation in Wegener granulomatosis.
Kamei
M
M
Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kawaramachi Hirokoji, Kamigyo-ku, Kyoto 602-0841, Japan. mkamei@ophth.kpu-m.ac.jp
Yasuhara
T
T
Tei
M
M
Sano
Y
Y
Yoneda
K
K
Kinoshita
S
S
D000293:Adolescent; D002924:Ciliary Body / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005260:Female; D006099:Granuloma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014890:Granulomatosis with Polyangiitis / Q000150:complications*; D006801:Humans; D014463:Ultrasonography; D014603:Uveal Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery