Necrotizing scleritis as the initial presentation of granulomatosis with polyangiitis.

Abstract

A 70-year-old woman presented to the ophthalmology clinic for evaluation of her eye pain and redness and decreased vision in her right eye. She was referred for urgent rheumatological evaluation for suspected necrotizing scleritis. Her past medical history included left eye herpes zoster infection, atrial fibrillation, and chronic bilateral maxillary sinusitis refractory to treatment but improved partially after antrostomy.