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Thorax 2007;62:520; doi:10.1136/thx.2007.082578
Copyright © 2007 BMJ Publishing Group Ltd & British Thoracic Society

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PULMONARY PUZZLE

Respiratory disease in the ophthalmology department

J K Quint1, A Elsheikh2, B Yung2, J Samuel2, D K Mukherjee2

1 Department of Academic Respiratory Medicine, Royal Free and University College Medical School, London, UK
2 Department of Respiratory Medicine, Basildon and Thurrock University Hospital, Essex, UK

Correspondence to:
Correspondence to:
Dr Jennifer Quint
Department of Academic Respiratory Medicine, Royal Free and University College Medical School, Rowland Hill St, Hampstead, London NW3 2PF, UK; j.quint@medsch.ucl.ac.uk

The first 100% of the full text of this article appears below.


Clinical presentation
A 24-year-old Indian doctor presented to the ophthalmology department complaining of bright lights in his field of vision during the preceding 6 months. He had previously been diagnosed with inferior branch retinal vein occlusion in his right eye and undergone laser treatment. On examination his visual acuities were 6/4 in the right and 6/5+ in the left eye. On fundoscopy there were multiple areas of sheathing of the retinal veins in both eyes, with small branch retinal vein occlusion in the right eye (fig 1Go).


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Figure 1  On fundoscopy; multiple areas of sheathing of the retinal veins, with small branch retinal vein occlusion.

 

Question
What is your differential diagnosis?

See page 526

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