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If the cells are larger than normal, the histogram curve will be more to right, as in megaloblastic anemia, if the. cells are smaller than normal, the curve will be more to the left as in untreated iron deficiency anemia. After.
Diagnosis, Workup and Treatment. This patient with gradual, painless, blurred vision OD was found to have a unilateral hyperopic shift of 1.5 D from an underlying choroidal mass. The differential diagnosis for a unilateral hyperopic shift includes mechanisms that flatten the cornea, shift the lens posteriorly, or shift the retina anteriorly. In this case, there was an amelanotic choroidal mass that shifted the retina anteriorly.