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To the Editor.
—A 24-year-old man complained of difficulty wearing his newly acquired (two days prior to his visit at the ophthalmologist) contact lenses. He had no previous contributing medical history. He was found to have left-sided, mild to moderate Bell's palsy with poor eyelid closure on the affected side and a poor Bell's phenomenon. His vision initially was 20/20 OU and on biomicroscopy was found to have superficial punctate keratopathy on the side of Bell's palsy. Because of a recent onset of Bell's palsy, the patient was given a regimen of oral methylprednisdone as well as topical treatment (artificial tears and sterile ointment) of the keratitis.On follow-up examination five days later, the patient's vision had decreased to 20/50 OS, on the affected side of Bell's palsy. Therapy with the corticosteroids was continued. Vision ten days later was again 20/20 OU.One month later (six weeks after the
Edwards JJ. A Link Between Bell's Palsy and Demyelinating Diseases. Arch Ophthalmol. 1984;102(9):1270. doi:10.1001/archopht.1984.01040031030016