Abstract
(Editorial Comment: This unique case reminds us that Wagener’s granulomatosis is a systemic disease that may involve a multitude of head and neck sites. In this case, biopsy-proven involvement of the lacrimal gland necessitated emergent orbital decompression.) Limited forms of Wegener’s granulomatosis (WG) associated with orbital involvement have been described.’ Orbital involvement with WG has an incidence ranging from 40% to 64°h.233 Involvement of the orbit can present as contiguous and/or focal forms. Lacrimal gland enlargement has also been described4; however, biopsy-proven lacrimal gland involvement is rare.
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