IMAGES IN MEDICINE
Bilateral serous macular detachments in Waldenström’s macroglobulinaemia
Wolverhampton Eye Infirmary, New Cross Hospital, Wolverhampton, UK
Correspondence to:
Mr F Quhill, Wolverhampton Eye Infirmary, New Cross Hospital, Wednesfield Road, Wolverhampton WV10 0QP, UK; fahdquhill@yahoo.co.uk
Keywords: anaemia; central serous retinopathy; hyperviscosity syndrome; optical coherence tomography; Waldenström’s macroglobulinaemia
| The first 150 words of the full text of this article appear below. |
A 71-year-old man presented to the emergency department with reduced vision in the right eye of 4 weeks duration. He complained of hazy and distorted vision, shortness of breath, and feeling light-headed. At presentation his visual acuity was count fingers in the right eye and 6/9 in the left eye. Fundus examination revealed bilateral, highly elevated, serous macular detachments and tortuous vessels with diffuse flame-shaped retinal haemorrhages, worse in the right eye (fig 1). The degree of macular elevation was confirmed by an optical coherence tomography (OCT) scan (fig 2A).
Figure 1 Red-free fundus photograph showing loss of foveal reflex from macular oedema with diffuse retinal haemorrhages and vessel tortuosity.
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Figure 2 (A) Optical coherence tomography (OCT) scan before treatment showing a cross-section of the retina revealing marked sensory detachment at the macula (due to collection of fluid beneath the retina) with intraretinal cystic oedema at the fovea (Stratus OCT3; | |||||||||
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