I think the substitution $x=\xi+\eta,$ $y=\xi-\eta$ can be done. Then the equation takes the form $$ \begin{gathered} 38(\xi^{2}+\eta^{2})=221+33(\xi^{2}-\eta^{2}) \\ 5 \xi^{2}+71 \eta^{2}=221 \end{gathered} $$
whence $\xi^{2}=30-71 n$, $\eta^{2}=1+5 n$. For $n=0$ we obtain noninteger solutions and for the rest one of the equalities has a negative right-hand side. Am I wrong?
We have $$19\left(x-\frac{33y}{38}\right)^2+\left(19-19\cdot\left(\frac{33}{38}\right)^2\right)y^2=221,$$ which gives $$\left(19-19\cdot\left(\frac{33}{38}\right)^2\right)y^2\leq221$$ or $$1\leq y\leq6.$$ The similar thing we can make for $x$. Now, check it.
Can you end it now?
I got $\{(2,5),(5,2)\}$.