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Bilateral Exudative Retinal Detachments and Panuveitis in a Patient with Multiple Myeloma.
- Source :
-
Ocular immunology and inflammation [Ocul Immunol Inflamm] 2024 Sep; Vol. 32 (7), pp. 1448-1453. Date of Electronic Publication: 2023 Jun 08. - Publication Year :
- 2024
-
Abstract
- Purpose: To report a case of bilateral exudative retinal detachments and panuveitis in a patient with multiple myeloma (MM).<br />Case Report: A 54-year-old patient with non-proliferative diabetic retinopathy was referred with blurred vision and scotomas in both eyes (OU). Three months prior to the onset of ocular symptoms, he was diagnosed with systemic MM and was receiving chemotherapy. Clinical examination revealed best-corrected visual acuities of 20/80 OU, rare anterior chamber cell, 2+ vitreous cell, diffuse intraretinal hemorrhages, and exudative retinal detachments (RD). Optical coherence tomography of the macula showed central subretinal fluid with cystic intraretinal fluid OU. The findings were consistent with panuveitis and exudative RD in the setting of MM. He reported symptomatic improvement after plasmapheresis and oral prednisone initiation.<br />Conclusion: Extensive, bilateral exudative RD and panuveitis are rare but potentially sight-threatening findings in patients with MM.
- Subjects :
- Humans
Middle Aged
Male
Fluorescein Angiography
Exudates and Transudates
Glucocorticoids therapeutic use
Subretinal Fluid
Prednisone therapeutic use
Panuveitis diagnosis
Panuveitis drug therapy
Retinal Detachment diagnosis
Retinal Detachment etiology
Multiple Myeloma complications
Multiple Myeloma diagnosis
Multiple Myeloma drug therapy
Tomography, Optical Coherence
Visual Acuity physiology
Subjects
Details
- Language :
- English
- ISSN :
- 1744-5078
- Volume :
- 32
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Ocular immunology and inflammation
- Publication Type :
- Academic Journal
- Accession number :
- 37290057
- Full Text :
- https://doi.org/10.1080/09273948.2023.2217914