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The image above shows an inferior temporal branch retinal vein occlusion. There are multiple flame haemorrhages throughout the inferior fundus including the macular area, so one would expect a significant and sudden drop in acuity to be reported here. Note also the many scattered paler areas over the lesion.
These cotton-wool spots indicate that this is an ischaemic vein occlusion. Figure 1 shows a similar lesion without cotton-wool spots, Figure 2 a central vein occlusion showing more extensive haemorrhaging, and Figure 3 shows the typical course of appearance as the haemorrhages reabsorb over the next couple of weeks.
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