Multiple myeloma presenting as vortex crystalline keratopathy and complicated by endocapsular hematoma.
The crystalline keratopathy of multiple myeloma may involve the corneal epithelium, but has not previously been described in a vortex epithelial distribution. Endocapsular hematomas have been described in the period immediately after extracapsular cataract extraction, but not later on or in association with systemic disease. We report a pseudophakic patient who developed a vortex epithelial crystalline keratopathy as a presenting sign of multiple myeloma, and who subsequently developed a spontaneous endocapsular hematoma.
Auran
J D
JD
Department of Ophthalmology, Columbia-Presbyterian Medical Center, Columbia University, New York, New York.
Donn
A
A
Hyman
G A
GA
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction; D003316:Corneal Diseases / Q000150:complications / Q000175:diagnosis*; D004848:Epithelium / Q000473:pathology; D005260:Female; D006406:Hematoma / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D007905:Lens Diseases / Q000150:complications / Q000175:diagnosis*; D007910:Lenses, Intraocular; D009101:Multiple Myeloma / Q000150:complications / Q000175:diagnosis*