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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 1).
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