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JAMA Ophthalmology Clinical Challenge
September 15, 2016

Traumatic Cataract and Heterochromia Iridis

Author Affiliations
  • 1Department of Ophthalmology and Visual Sciences, University of Illinois Eye and Ear Infirmary, University of Illinois Hospital and Health System, Chicago

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JAMA Ophthalmol. Published online September 15, 2016. doi:10.1001/jamaophthalmol.2016.2116

An otherwise healthy white man in his 40s was referred to the cornea service for decreased vision in the setting of a white cataract in his left eye. The patient reported the acute onset of foreign body sensation in his left eye while splitting wood 1 year prior. He attended a hospital emergency department at that time and was diagnosed with a corneal abrasion and treated with topical antibiotics. He stated that his vision initially returned to normal after treatment, but had subsequently worsened. He complained of tearing, photophobia, and burning in the left eye.

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