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Nearly all patients with cGVHD retained excellent visual acuity despite the high prevalence of aqueous tear deficiency and corneal staining. Limitation in visual acuity in this patient population was most often associated with cataract formation. Conjunctival findings are not uncommon findings in cGVHD, and future studies are necessary to determine if advanced-stage conjunctival involvement with pseudomembranous conjunctivitis may be associated with extensive systemic GVHD and poorer posttransplant survival.