RT Journal
A1 Morris DS, Selva D, Dolman PJ
T1 ENdonasal dacryocystorhinostomy in wegener granulomatosis
JF Archives of Ophthalmology
JO Archives of Ophthalmology
YR 2010
FD September 1
VO 128
IS 9
SP 1212
OP 1214
DO 10.1001/archophthalmol.2010.191
UL http://dx.doi.org/10.1001/archophthalmol.2010.191
AB 
Wegener granulomatosis (WG) is a life-threatening autoimmune disease of unknown etiology first described in 1936. The classic clinical triad consists of necrotizing granulomatous inflammation of the respiratory tract, necrotizing glomerulonephritis, and systemic vasculitis. Prior to the introduction of modern immunosuppressants, WG was usually fatal due to renal complications. Involvement of the eye and adnexal structures is common, occurring in 29% of patients. Nasolacrimal duct obstruction (NLDO) following necrosis of the nasal tissue is seen in 7% of patients,1 who may seek relief through lacrimal surgery.