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Patient 1 was a 48-year-old woman with metastatic breast cancer, a history of keratoconjunctivitis sicca, and 20/20 visual acuity in each eye who had severe bilateral irritation and decreased vision after two cycles of capecitabine (4600 mg per day for 14 days and 3000 mg per day for 14 days). Her visual acuity decreased to 20/40 in
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