A 56-year-old woman presented with nonspecific inferonasal visual field loss in the right eye. The vision loss was noticed upon waking two weeks prior. She denied any pain, trauma, headache, diplopia, photophobia or infection. The systemic review was significant for chronic hand numbness and pain secondary to rheumatoid arthritis but was otherwise negative. She denied the presence of any rashes, headache, jaw claudication, scalp tenderness, abnormal bowel movements or urinary symptoms.
Medical History Her history was significant for rheumatoid arthritis. She also had a history of having had a positive purified protein derivative test for tuberculosis (PPD), which was treated with “months of antibiotics” two years prior to presentation. She also had hypertension and hypothyroidism. She denied tobacco use or drinking, denied illicit drug use and did not have any allergies. Examination…
