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JAMA Ophthalmology Clinical Challenge
August 27, 2020

In the Context of Cicatricial Disease

Author Affiliations
  • 1Department of Ophthalmology, Wills Eye Hospital, Philadelphia, Pennsylvania
  • 2Oncology Service, Wills Eye Hospital, Philadelphia, Pennsylvania
  • 3Cornea Service, Wills Eye Hospital, Philadelphia, Pennsylvania
JAMA Ophthalmol. 2020;138(10):1095-1096. doi:10.1001/jamaophthalmol.2020.1606

A woman in her 60s with a history of hypothyroidism presented with a 6-month history of progressive, diffuse redness and tearing in the left eye. She maintained a healthy diet and denied any history of malnutrition, gastrointestinal procedures, recent ocular infections, or chemical exposures. Her ocular history was notable for cataract extraction with intraocular lens implantation in both eyes. Shortly after cataract surgery in the left eye, performed 1 year prior to presentation, the patient developed cystoid macular edema treated with a sub-Tenon injection of triamcinolone acetonide. Ocular hypertension was noted after corticosteroid treatment, and the patient started brimonidine-timolol drops twice daily in the left eye.

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