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Blood film demonstrates normocytic anaemia, moderate thrombocytopenia hyperleukocytosis with large lymphoma cells.
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Blood film and diagnostic bone marrow aspirate and trephine was performed which confirmed a diagnosis of DLBCL (Figure 1).
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Fundus photography of the right and left eyes demonstrates bilateral venous dilation retinal hemorrhages (labelled) and cotton wool spots (circled).
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OD and 12 OS). Ophthalmoscopy demonstrated bilateral venous dilation and tortuosity in the retinal vasculature, superficial retinal hemorrhages scattered throughout the posterior pole of the eye and cotton wool spots indicative of localized ischemia (Figure 2).
Optical coherence tomography of the right eye which demonstrates no associated macular edema, as shown by normal foveal thickness.
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Similarly, optical coherence tomography (OCT) imaging found no associated macular edema in either eye (Figure 3).
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