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Miscellaneous
Respiratory disease in the ophthalmology department
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  1. J K Quint1,
  2. A Elsheikh2,
  3. B Yung2,
  4. J Samuel2,
  5. D K Mukherjee2
  1. 1Department of Academic Respiratory Medicine, Royal Free and University College Medical School, London, UK
  2. 2Department of Respiratory Medicine, Basildon and Thurrock University Hospital, Essex, UK
  1. 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{at}medsch.ucl.ac.uk

http://dx.doi.org/10.1136/thx.2007.082578

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    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 1).

    Figure 1
    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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