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JAMA Ophthalmology Clinical Challenge
September 17, 2020

Scleritis and Retinal Detachment After Strabismus Surgery in a Patient With Thyroid Eye Disease

Author Affiliations
  • 1Department of Ophthalmology and Visual Science, University of Chicago, Chicago, Illinois
JAMA Ophthalmol. 2020;138(11):1209-1210. doi:10.1001/jamaophthalmol.2020.2034

A 74-year-old man with an ocular history of bilateral cataract extraction 9 years prior and left inferior rectus muscle recession 3 months before this current evaluation for 2 months of severe, progressive pain, redness, and decreased visual acuity in the left eye. After strabismus surgery, he was noted to have a nonhealing conjunctival epithelial defect inferiorly, which later developed underlying scleral thinning. He was being treated with topical moxifloxacin, 0.5%, every 2 hours in the left eye. He noted a medical history of hyperthyroidism, coronary artery disease, hypertension, and type 2 diabetes mellitus. He also noted a history of substantial blood glucose elevation after taking oral prednisone.

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