Case 277


Female, 93yo, sought eye care due to tearing and severe discomfort in the eyes, which worsen upon exposure to light. Comorbidities: controlled arterial hypertension and non-insulin dependent type 2 diabetes. History of stroke 10 years ago, with sequelae of paralysis of lower limbs. She performed manual work for a lifetime on a farm.

Face photograph highlighting eye region (authorized by the patient).

Based on clinical history and image provided, what is the probable diagnosis?

Questão de Prova

(Medical Residence - HPEV)
Newborn with tearing, photophobia and blepharospasm in both eyes suggests:

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