Intraoperative optical coherence tomography (I-OCT)-guided identification of resolved sub-internal limiting membrane hemorrhage in leukemic retinopathy

A 17-year-old male with acute myeloid leukemia (AML), presented with diminution of vision OS for 6 months. The best-corrected visual acuity was 6/9 OD and 4/60 OS. Anterior segment OU was normal. Fundus revealed pale disc OD with multiple areas of well-circumscribed pigmentary changes [Figure 1] a and vitreous hemorrhage OS. The patient underwent OS 25-G vitrectomy after informed consent. After clearing hemorrhage and induction of posterior vitreous detachment (PVD), multiple pigmented areas similar to OD including one at macula were noted [Figure 1] b. Intraoperative optical coherence tomography (I-OCT) revealed them to be areas of regressed sub-internal ...