A 72-year-old woman was referred for an eye examination because of visual changes in the left eye. Her medical history was notable for end-stage kidney disease requiring a kidney transplant at age 50 years and a second transplant at age 65 years. She had received her medical care at outside facilities, the records of which were not available. She could not recall being given any precise diagnosis but reported having proteinuria since age 7 years. Her other medical conditions included hyperlipidemia, arterial hypertension, and pulmonary Mycobacterium avium complex infection. She was taking tacrolimus, amlodipine, atorvastatin, ethambutol, rifampin, and clarithromycin. Her family history was unremarkable. She had 2 healthy adult children.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: M. Tariq Bhatti, MD, Department of Ophthalmology, The Permanente Medical Group, Kaiser Permanente–Northern California, 1011 Riverside Ave, 2nd Floor, Roseville, CA 95678 (firstname.lastname@example.org).
Published Online: May 4, 2023. doi:10.1001/jamaophthalmol.2023.1122
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the patient for granting permission to publish this information.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
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