Anemic Retinopathy after Chemotherapy
10.3341/jkos.2019.60.12.1352
- Author:
Seung Chan LEE
1
;
Baek Lok OH
Author Information
1. Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. baeklok@snu.ac.kr
- Publication Type:Case Report
- From:Journal of the Korean Ophthalmological Society
2019;60(12):1352-1355
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE:To report a case of anemic retinopathy after chemotherapy.CASE SUMMARY: A 32-year-old male presented with visual disturbance in both eyes. He had been diagnosed with testicular cancer and had undergone right orchiectomy 4 months prior. He completed adjuvant chemotherapy 2 weeks before presentation. His best-corrected visual acuities were 20/35 in both eyes. Fundus examination revealed multiple flame-shaped hemorrhages around the posterior pole, and boat-shaped hemorrhages on the macula in both eyes. Laboratory results showed that he had reduced hemoglobin (5.5 g/dL) and platelet counts (77,000/µL). After transfusion, visual acuities were improved and retinal hemorrhages were resolved along with normalization of the hematological conditions.
CONCLUSIONS:Many ocular and medical conditions can cause bilateral retinal hemorrhages. This case emphasizes that comprehensive history evaluation, systemic evaluation, and laboratory findings, as well as a detailed fundus examination, are important in the diagnosis of patients with bilateral retinal hemorrhages.
