Review of Optometry - Systemic diseases blurring diagnosis? Is glaucoma appearance due to tamoxifen, or to thyroid disease? Or maybe neither?(Glaucoma Grand Rounds)
A 63-year-old white female presented in the fall of 1998 for a routine primary eye care visit. She was taking Vaseretic (enalapril/hydrochlorothiazide, Merck), Synthroid (levothyroxine sodium, Abbott), and 20mg Nolvadex (tamoxifen, AstraZeneca) qd. She had a 10-year history of hypertension, and had abnormal thyroid studies for more than 20 years.
She also had breast cancer. About nine months before initial presentation, she underwent a complete right mastectomy followed by radiation therapy. She started on tamoxifen about four months prior to her initial presentation to me.
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