DOI: 10.36347/sjmcr.2017.v05i05.016

Pages: 350-352

A 36-year-old man was referred to the ophthalmology unit for blurring of vision in both eyes. A diagnosis of acute lymphoblastic leukemia was made in the patient at the age of 35 years. Treatment with combined chemotherapy achieved a complete remission. The patient received an allogenic bone marrow transplant from an HLA-identical donor. On examination, his best-corrected visual acuity was 0.3 in the right eye and 0.04 in the left eye. Retinal examination revealed multiple cotton wool spots and superficial hemorrhages around the optic discs of both eyes with serous retinal detachment. Optical coherence tomography of the macular area confirmed the presence of serous retinal detachment we diagnosed the condition as a Purtscher-like retinopathy caused by transplant-associated thrombotic microangiopathy. We suggest that it is worthwhile to examine the eyes of patients with suspected transplant-associated thrombotic microangiopathy to aid the diagnosis.