Figure 2- Fundus photograph of the patient: A) Right eye optic disc swelling and epiretinal hemorrhage. B) left eye optic disc swelling and splinter hemorrhage around the disc and macular epiretinal hemorrhage.
After one week, in the first follow-up examination, the optic disc swelling progressed (Figure 2) in both eyes and the visual acuity decreased dramatically to light perception in the right eye and 10/20 in the left eye. The patient was referred to his oncologist to continue systemic chemotherapy and radiotherapy. In the last follow-up visit, the fundus examination revealed disc swelling, retinal edema, and epiretinal hemorrhage in both eyes, and visual acuity deteriorated to no light perception and counting fingers in the right and left eye, respectively. The patient is a candidate for bone marrow transplantation.
Table 2- laboratory test results.