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JAMA Ophthalmology Clinical Challenge
May 2016

Conjunctival Lesions and Vision Impairment After Gastrointestinal Surgery

Author Affiliations
  • 1Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth
  • 2Brazos Eye Surgery of Texas, Waco
JAMA Ophthalmol. 2016;134(5):597-598. doi:10.1001/jamaophthalmol.2015.4129

A woman in her early 40s sought ophthalmological care after a referral from an optometrist for bilateral eye pain, substantial eye watering, bilateral conjunctival lesions, and decreased vision, which she described as dim once the room was darkened. She had little to no improvement over the last few months with an artificial tear solution. She claimed to be in good health and denied any concurrent medical conditions. She had undergone a weight loss procedure known as a duodenal switch the year prior.