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On examination, the epithelium was intact but there was mild patchy anterior stromal haze in the same distribution in the visual axis as before. Beta-blockers should not be substituted for clonidine when modifications are made in a patient's antihypertensive regimen because beta-blocker administration during clonidine withdrawal can augment clonidine withdrawal, which may lead to a hypertensive crisis. Hepatic Encephalopathy Mina Shaker, MD William D.

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