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Images in medicine
Peripheral retinopathy associated with Waldenström’s macroglobulinaemia
  1. Eleftherios Agorogiannis1,
  2. Ziyaad Sultan2,
  3. Balasubramanian Ramasamy3
  1. 1 St Paul’s Eye Unit, Royal Liverpool University Hospital, Liverpool, UK
  2. 2 Department of Ophthalmology, Warrington Hospital, Warrington, England
  3. 3 Department 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

http://dx.doi.org/10.1136/postgradmedj-2017-134948

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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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    Footnotes

    • Contributors EA and ZS contributed equally to this work. All authors contributed to clinical care of the patient, wrote and reviewed the manuscript, and approved its final version.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.