Anemic Retinopathy after Chemotherapy.

Lee, Seung Chan; Oh, Baek Lok

doi:2019.60.12.1352

J Korean Ophthalmol Soc > Volume 60(12); 2019 > Article

Case Report

Journal of the Korean Ophthalmological Society 2019;60(12):1352-1355.
DOI: https://doi.org/10.3341/jkos.2019.60.12.1352 Published online December 15, 2019.

Anemic Retinopathy after Chemotherapy.

Seung Chan Lee, Baek Lok Oh

Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. baeklok@snu.ac.kr

항암 치료 후 발생한 빈혈망막병증

이승찬 · 오백록

서울대학교 의과대학 서울대학교병원 안과학교실

Correspondence: Baek Lok Oh,
Email: baeklok@snu.ac.kr

Received: 26 July 2019 • Revised: 19 September 2019 • Accepted: 29 November 2019

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.

Key Words: Anemia;Retinal hemorrhage;Thrombocytopenia