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Chorioretinal folds in a patient with multiple myeloma treated with stem cell transplant

Abstract

Purpose

To report an unusual case of bilateral choroidal folds related to multiple myeloma.

Methods

In this case report, fundus photography, fundus fluorescein angiography, fundus autofluorescence, and B-ultrasonography were used to assess posterior segment changes.

Results

A 55-year-old woman with history of multiple myeloma was found to have abnormal fundi. Clinical examination and investigations confirmed chorioretinal folds, which was considered to be related to myeloma. Close monitoring ensued for 2 years with no significant changes. Subsequently, she was treated with stem cell transplant for myeloma, which resulted in remission of her disease. She was also noted to have marked improvement of chorioretinal folds within 1 year. Visual function remained normal throughout the follow-up period.

Conclusions

Multiple myeloma can infiltrate choroidal tissue, resulting in chorioretinal folds. Stem cell transplant was associated with significant reduction in paraprotein levels and choroidal folds.

Eur J Ophthalmol 2017; 27(2): e46 - e49

Article Type: CASE REPORT

DOI:10.5301/ejo.5000928

Authors

Jia S. Poon, Kaveh Vahdani, Adam P. Booth

Article History

Disclosures

Financial support: No financial support was received for this submission.
Conflict of interest: None of the authors has conflict of interest with this submission.

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Authors

Affiliations

  • Conquest Hospital, East Sussex Healthcare NHS Trust, The Ridge, Saint Leonards-on-Sea - UK
  • Bristol Eye Hospital, Bristol - UK
  • Royal Eye Infirmary, Derriford Hospital, Plymouth - UK

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