Blurry vision unraveling underlying aplastic anemia

A 23-year-old male presented with sudden diminution of vision in both eyes due to massive retinal hemorrhages involving the macula. Hematological workup revealed severe anemia with thrombocytopenia and leukopenia. A bone marrow biopsy was advised, and the diagnosis of Aplastic anemia was confirmed. Replacement therapy resulted in dramatic resolution of the fundus picture with improvement in visual acuity to near normal on follow-up visit after three months. A careful examination including dilated fundoscopy, a high index of suspicion, and prompt management can save vision as well as life in such cases.