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The mother of a four-year-old noted swelling in the right upper eyelid of her daughter. At the office, we attributed the problem to allergy because there was a mild "cobblestone" appearance and slight erythema. An ophthalmic solution consisting of naphazoline hydrochloride and pheniramine maleate was prescribed. Six weeks later the patient's mother called to report that the situation had worsened and "the right eye was drooping." An ophthalmologist identified
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