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A 16-year-old boy presented with diminished vision for 7 days. It was painless, acute in onset, gradually progressing and bilateral with the right eye being more symptomatic than the left eye. He also noticed fixed reddish spots in the visual field. He was pure vegetarian and had no history of fever or comorbidities. His general physical and systemic examination was normal except for severe pallor. His best-corrected visual acuity was 6/12 (Snellen’s chart) in the left eye and counting fingers (CF) vision in the right eye. Fundus examination showed the presence of multiple well-defined oval-shaped haemorrhages with a white centre (Roth spots) along with …
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