PMC6304476_01
Multiple peripapillary cotton wool spots in both eyes at presentation.
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fig1
Fundoscopic examination OU revealed multiple peripapillary cotton wool spots in both eyes (Figures 1(a) and 1(b)).
Following Hyper-CVAD chemotherapy, (a) multiple preretinal, intraretinal, and subretinal hemorrhages; (b) preretinal, intraretinal, and subretinal hemorrhages in the left eye; (c) after YAG laser treatment in the left eye, blood settling inferiorly in the vitreous cavity; (d) the retinal hemorrhages resolved after several months.
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fig2
Fundoscopic examination revealed retinal hemorrhages extending from the peripapillary region into the midperipheral retina OU (Figures 2(a) and 2(b)), with a large premacular hemorrhage in the left eye. As a result, the hemorrhage was free to diffuse into the vitreous cavity and settle inferiorly (Figure 2(c)). The remaining retinal hemorrhages resolved over several months (Figure 2(d)) and the patient completed the remainder of his Hyper-CVAD therapy without further ocular complications.