Scleritis is an ocular inflammatory condition characterized by edema and cellular infiltration of the sclera that causes local redness, pain and loss of visual acuity. It can be the first manifestation of a systemic rheumatic disease such as lupus, rheumatoid arthritis and relapsing polycondritis, although it is more frequently found in a well established disease. The authors describe a case of Wegener's granulomatosis where this form of ocular involvement preceded the glomerulonephritis by eighteen months.
Wegener's granulomatosis; scleritis and glomerulonephritis