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Her blood tests showed iron deficiency anaemia due to chronic menorrhagia, and her abdominal ultrasound scan showed large uterine fibroids. The gynaecology team was involved; medical therapy failed to control her heavy menstrual bleeding and subsequently correct her anaemia; thus, surgical management was advocated. After undergoing hysterectomy with bilateral salpingectomy and left oophorectomy, her blood testing normalised, and the anaemic retinopathy completely resolved.<\/jats:p>","DOI":"10.1136\/bcr-2025-266496","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T10:00:18Z","timestamp":1752832818000},"page":"e266496","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Unilateral Roth spots secondary to uterine leiomyoma"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3749-300X","authenticated-orcid":false,"given":"Najla","family":"Alsalem","sequence":"first","affiliation":[{"name":"Ophthalmology, Kuwait Ministry of Health, Sulaibikhat, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alaa","family":"Al-Ali","sequence":"additional","affiliation":[{"name":"Kuwait Ministry of Health, Sulaibikhat, Al Asimah Governate, Kuwait"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"key":"2025082723044740000_18.7.e266496.1","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.1007\/s12325-022-02157-7","article-title":"Iron Deficiency in Women\u2019s Health: New Insights into Diagnosis and Treatment","volume":"39","author":"Moisidis-Tesch","year":"2022","journal-title":"Adv Ther"},{"key":"2025082723044740000_18.7.e266496.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.01.017"},{"key":"2025082723044740000_18.7.e266496.3","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1002\/ijgo.14944","article-title":"Iron deficiency, pregnancy, and neonatal development","volume":"162","author":"Ataide","year":"2023","journal-title":"Intl J Gynecology Obste"},{"key":"2025082723044740000_18.7.e266496.4","unstructured":"Ruddy SM , Bergstrom R , Tivakaran VS . 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