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January 2013

Transient Monocular Vision Loss Due to Churg-Strauss Syndrome Vasculitis

Author Affiliations

Author Affiliations: Departments of Ophthalmology and Visual Sciences (Drs Harris Nwanyanwu, De Lott, Cornblath, and Elner), Neurology (Drs De Lott and Cornblath), and Pathology (Dr Elner), Kellogg Eye Center, University of Michigan, Ann Arbor.

JAMA Ophthalmol. 2013;131(1):117-119. doi:10.1001/jamaophthalmol.2013.576

Churg-Strauss syndrome (CSS) is a rare, systemic, antineutrophil cytoplasmic antibody–associated vasculitis involving small and medium-sized vessels that affects multiple tissues, particularly the lungs. Ophthalmologic involvement includes keratitis, conjunctival nodules, dacryoadenitis, myositis, uveitis, retinal vascular occlusion, and cranial neuropathies such as optic neuropathy.1 Transient monocular vision loss (TMVL) in CSS and the diagnosis of CSS by temporal artery biopsy (TAB) are both rare. We report a case of TMVL due to CSS vasculitis diagnosed by TAB.