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.