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JAMA Ophthalmology Clinical Challenge
December 2017

Blepharitis With Facial Numbness and Ocular Pain

Author Affiliations
  • 1Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia
JAMA Ophthalmol. 2017;135(12):1442-1443. doi:10.1001/jamaophthalmol.2017.2492

A man in his 60s presented to the emergency department with a 3-week history of numbness of the right side of the forehead and cheek and severe right-sided ocular discomfort that was relentless and kept him awake at night. He had been seen 2 weeks previously with similar symptoms and was diagnosed as having blepharitis and discharged with instructions for eyelid hygiene. His symptoms failed to improve, and he visited his family physician the following week. His physician prescribed a course of amoxicillin and clavulanate potassium, but the symptoms remained.