Asian Journal of Research and Reports in Ophthalmology

A Patient with Multiple Myeloma Presenting with Bilateral Retinal Vein Thrombosis: A Case Report

M. N. S. K. Perera *

National Hospital of Sri Lanka, Sri Lanka.

K. U. Athukoralage

National Hospital of Sri Lanka, Sri Lanka.

*Author to whom correspondence should be addressed.

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Abstract

Central retinal vein occlusion is a cause of acute unilateral painless visual loss in the elderly, while bilateral central retinal vein occlusion in a young patient is a rare presentation.

We present a case of a 41-year-old gentleman, without previously identified risk factors, coming with bilateral retinal vein occlusion. His evaluation revealed multiple myeloma with type 1 cryoglobulinaemia as the underlying cause for hypercoagulability.

Our patient’s story illustrates that myeloma should be considered as a differential for bilateral retinal vein occlusion especially when it occurs in the absence of other underlying risk factors.

Keywords: Retinal vein occlusion, multiple myeloma, cryoglobulinaemia

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