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JAMA Ophthalmology Clinical Challenge
March 7, 2019

Conjunctival Lesion in an Elderly Woman

Author Affiliations
  • 1Bascom Palmer Eye Institute, Miami, Florida
  • 2Keck School of Medicine of University of Southern California, Los Angeles
JAMA Ophthalmol. 2019;137(5):573-574. doi:10.1001/jamaophthalmol.2018.7180

A woman in her mid-80s presented with ptosis and blurred vision in the right eye. The ptosis was first noticed 3 weeks prior to presentation and had gradually worsened. She denied any acute changes in her health and review of her systems was unremarkable. The patient had an ocular history of bilateral cataract surgery in 2016, a medical history of thyroid cancer with thyroidectomy in 1990, and stage IIIc lobular carcinoma of the right breast with mastectomy of the right breast in 2008.