A Patient with Multiple Myeloma Presenting with Bilateral Retinal Vein Thrombosis: A Case Report
M. N. S. K. Perera, K. U. Athukoralage
Asian Journal of Research and Reports in Ophthalmology · pp. 92–97 · Published 3 Dec 2022
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.
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