Aim: To study the association between retinal hemorrhages in Plasmodium vivax malaria infection. Case report: A 29 - year -old male patient with fever and hepatosplenomegaly, diagnosed with Plasmodium vivax (P. vivax) malaria infection developed sudden loss of vision in left eye during the course of illness. He was found to have retinal and macular intra-retinal hemorrhage and was managed conservatively with serial follow up. The condition resolved spontaneously with no residual defective vision. Discussion: Retinal and macular hemorrhages are very rare in P. vivax infections and very few cases have been reported in literature. Conclusion: Recognition of this rare, yet serious and vision threatening complication in P. vivax malaria infection is emphasized for the need to be aware of the protean manifestations of P. vivax malaria infections.