Fig. 10. A. This 68-year-old woman presented with acute orbital inflammation, pain, and diplopia. Clinical evaluation demonstrated a medial orbital mass. Biopsy of the orbital mass demonstrated significant vasculitic and granulomatous changes believed to be consistent with Wegener's granulomatosis. No systemic disease was present. B. Appearance of same patient after treatment with prednisone and cyclophosphamide demonstrating complete resolution of the inflammatory process.