A 32-year-old white male presented to the Jones Eye Institute at the University of Arkansas for Medical Sciences with blurred vision of the right eye (OD) and severe bilateral retrobulbar pain. He had an eight-year history of Wegener's granulomatosis. On examination there was optic disc edema OD and extensive bilateral orbital involvement with compression of the right optic nerve by neuroimaging studies. Optic nerve compression is rare in Wegener's granulomatosis. The ophthalmic manifestations are reviewed.
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