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Peripheral retinopathy associated with Waldenström’s macroglobulinaemia
  1. Eleftherios Agorogiannis1,
  2. Ziyaad Sultan2,
  3. Balasubramanian Ramasamy3
  1. 1St Paul’s Eye Unit, Royal Liverpool University Hospital, Liverpool, UK
  2. 2Department of Ophthalmology, Warrington Hospital, Warrington, England
  3. 3Department of Ophthalmology, Arrowe Park Hospital, Upton, UK
  1. Correspondence to Dr Eleftherios Agorogiannis, St Paul’s Eye Unit, Royal Liverpool University Hospital, Liverpool L7 8XP, UK; eleftherios.agorogiannis{at}gmail.com

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An asymptomatic non-diabetic 69-year-old man with no medical history was referred for incidental bilateral retinal haemorrhages. Visual acuities were 20/20 in both eyes. Anterior segment examination was unremarkable. Funduscopy revealed normal optic discs and maculae and bilateral peripheral blot haemorrhages and microaneurysms (figure 1A,B). Wide-field fluorescein angiography showed peripheral retinal vessel wall staining with capillary non-perfusion and scattered microaneurysms (figure 1C,D). Blood …

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