We report a case of 45 year old female patient who presented with ocular pain and blurring of vision in both eyes (BCVA in right eye 0.1 logMAR and in left eye 0.1 logMAR). An ophthalmological evaluation revealed bilateral pale conjunctiva, vitreous degeneration, dilated and tortuous retinal vessels with multiple flame shaped and dot-blot haemorrhages, cotton wool spots and roth spots in both eyes. IOP in both eyes was 10 mm Hg. Haematological evaluation revealed the presence of Acute Myeloid Leukemia-M0 (undifferentiated) with Hb 3.2 gm%. General physical examination showed severe pallor. On examination bilateral basal crepts and sternal tenderness found. Other causes of severe anaemia have been ruled out. This case documents the occurence of leukemic retinopathy in rare type of leukemia i.e Acute Myeloid Leukemia-M0 (3-5% of Acute Myeloid Leukemia). Differential diagnosis: Thrombocytopenia, Severe anaemia, Hyperviscocity.