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Fisherman Has Ocular Pain, Blurry Vision - Can You Diagnose?

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A 64-year-old fisherman who hadn’t seen his doctor in about a decade went in concerned about ocular pain. He had noticed a small raised area in the corner of his eye about 15 years earlier. Over time the area had slowly grown to a bulbar conjunctival plaque over a small area of his eye, but it had only ever caused a little bit of eye irritation. Now the pain and occasionally blurred vision made him worry that it would lead to a permanent loss of vision.

The correct diagnosis is...

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