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.
