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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 338:313-319 January 29, 1998 Number 5
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Case 4-1998— A 32-Year-Old Man with Vitreous Hemorrhage and Mediastinal Lymphadenopathy
Michael B. Raizman, and Jacqueline J. Haas

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Presentation of Case

A 32-year-old man was admitted to the hospital because of unilateral vitreous hemorrhage and mediastinal lymphadenopathy.

The patient had been well until 7 1/2 weeks earlier, when he experienced the gradual onset of blurred vision in the left eye, accompanied by numerous floaters, but without flashes, quadratic visual-field loss, or pain. An evaluation elsewhere showed vitreous hemorrhage with proliferative disease. A fluorescein angiographic examination showed vitreous hemorrhage, an elevated, intensely hyperfluorescent fibrovascular frond, and smaller areas of neovascularization that did not involve the optic disk. Panretinal photocoagulation was administered twice during a six-day period, and the patient's vision slowly improved. . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Michael B. Raizman's Diagnoses

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References




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