Abstract
Granulomatosis with polyangiitis (GPA) can manifest with a range of rhinologic and ocular symptoms. Orbital involvement, occurring in 45% to 65% of patients, is typically responsive to immunosuppressive therapy. Surgery for subacute orbital lesions refractory to medical management has not been described in the literature. We present a case of an orbital lesion causing diplopia and gaze restrictions over time despite medical management, which underwent surgical decompression.
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