Painless Loss of Vision with Numbness (Pathology)

Blurred vision OS; Binocular diplopiaA 70-year old female with blurred vision OS and binocular horizontal diplopia. Previous history significant for numbness of bottom of right foot and hand, hypertension and asthma.VA: HM at 2' OD, 20/100 OS; Color plates: 0/10 OD, 0.5/10 OS; RAPD ODCT; MRINecrotizing vasculitis with fibrinoid necrosis of the small arteries.Corticosteroids; Alkylating antineoplastic agents1. Calabrese LH, Duna GF. Vasculitic syndromes. In: Stein JH, ed. Internal Medicine. St. Louis: Mosby, 1998;1219-20. 2. Cohen RD, Conn DL, Ilstrup DM. Clinical features, prognosis, and response to treatment in polyarteritis. Mayo Clin Proc 1980;55:146-55. 3. Valente RM, Hall S, O'Duffy JD, Conn DL. Vasculitis and releated disorders. In: Kelley WN, Harris ED, Jr, Ruddy S, Sledge CV, eds. Textbook of rheumatology. Philadelphia: W.B. Saunders Company, 1997;1091-7. 4. Wise GN. Ocular periarteritis nodosa. Arch Ophthalmol 1952;48:1-11. 5. Morgan CM, Foster CS, D'Amico DJ, Gragoudas ES. Retinal vasculitis in polyarteritis nodosa. Retina 1986;6:205-9. 6. Galetta SL. Vasculitis. In: Miller NR, Newman NJ, eds. Walsh and Hoyt's Clinical Neuro- Ophthalmology. Baltimore: Williams & Wilkins, 1998;3744-51