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KMID : 0360220190600121352
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Journal of the Korean Ophthalmological Society
2019 Volume.60 No. 12 p.1352 ~ p.1355
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Anemic Retinopathy after Chemotherapy
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Lee Seung-Chan
Oh Baek-Lok
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Abstract
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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.
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KEYWORD
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Anemia, Retinal hemorrhage, Thrombocytopenia
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