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A 15-year-old Hmong boy was referred for evaluation of impaired visual acuity noted by the patient for several years. Except for recently initiated therapy for latent tuberculosis infection, the past medical history was unremarkable. Ocular examination revealed an uncorrected distance acuity of 20/200 in both eyes. He had high myopia, but correction of the refractive error only improved his acuity to 20/100 and 20/60 in the right and left eyes, respectively. Pertinent positive findings included poor pupillary red reflexes and myopic degeneration of the right eye. Slit-lamp biomicroscopy (fig 1 …
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Competing interests: None.
Funding: Supported in part by an unrestricted grant from Research to Prevent Blindness, Inc., to the Department of Ophthalmology, University of Minnesota Medical School.
Patient consent: Obtained from the parents.