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Presumed ocular tuberculosis presenting as a branch retinal vein occlusion in the absence of retinal vasculitis or uveitis
  1. Thomas M O’Hearn,
  2. Amani Fawzi,
  3. Daniel Esmaili,
  4. Michael Javaheri,
  5. Narsing A Rao,
  6. Jennifer I Lim
  1. Doheny Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
  1. Correspondence to: Dr J I Lim Doheny Eye Institute, 1450 San Pablo Street, DEI Suite 3612, Los Angeles, CA 90033, USA; jennifil{at}usc.edu

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A 38-year-old Hispanic man presented with painless decreased vision in his right eye for 7 days. He had had no light perception with his left eye for 7 years, for which he was unable to provide a history. Visual acuity was 20/70 in the right eye (OD) and no light perception in the left eye (OS), with normal pressures in both eyes (OU). Slit-lamp examination showed an unremarkable OD, but disclosed a glaucoma-implant tube in a formed anterior chamber in the left eye, with posterior synechiae of the iris and a white cataract. Ophthalmoscopy of the right eye showed a superotemporal branch retinal vein occlusion with an associated serous retinal detachment involving the macula, without vitreous cell. The optic nerve and the remaining vessels and periphery were unremarkable. There was no view to the fundus in the left eye.

Echography of the right eye did not show choroidal thickening, and in the left eye, …

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  • Competing interests: None.