A 63-year-old man was referred to the New England Eye Center cornea department with a 4-month history of worsening vision in the right eye. The patient reported a 3-year history of right eye injection, which was associated with intermittent surface irritation and itch. He was treated by his local optometrist for presumed dry eye and used artificial tears as needed for symptomatic relief. Over the past few months, however, he noticed a gradual decrease in the vision of the right eye, which prompted a referral to an outside ophthalmologist.
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