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JAMA Ophthalmology Clinical Challenge
December 27, 2018

Chronic Eye Redness and Pain After 9 Months of Anti-inflammatory Therapy

Author Affiliations
  • 1Massachusetts Eye Research and Surgery Institution, Waltham, Massachusetts
  • 2Ocular Immunology and Uveitis Foundation, Harvard Medical School, Waltham, Massachusetts
  • 3Harvard Medical School, Boston, Massachusetts
JAMA Ophthalmol. 2019;137(3):314-315. doi:10.1001/jamaophthalmol.2018.5417

A 50-year-old woman with hypertension, diabetes, and allergies presented to the ophthalmology clinic for an evaluation of uveitis after experiencing 9 months of eye redness and pain that started in her right eye and involved both eyes within a few months. The patient had a history of asthma and had recently been hospitalized after radiologic findings of pulmonary infiltrates. The patient was diagnosed with pneumonia, myocarditis, and hypereosinophilic syndrome and received high-dose intravenous corticosteroids. At hospital discharge, the patient’s medications were changed to prednisone, 11 mg orally once daily, and azathioprine, 100 mg orally once daily.

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