title: Cloudy corneas as an initial presentation of multiple myeloma.
abstract: CONCLUSIONS
  We report a case of previously unsuspected myeloma, presenting with cornea verticillata due to intracorneal paraprotein deposition.
  
  
  METHODS
  An 85-year-old female presented via her optician with a 4-month history of cloudy vision. She had undergone an uneventful bilateral phacoemulsification surgery 7 years earlier. Extensive spiraling corneal epithelial opacification was noted on slit-lamp examination. On further investigation, she was found to have a previously unsuspected low-grade multiple myeloma. We established the nature of the corneal deposits with corneal epithelial biopsy histopathology and electron microscopy. It is very rare for multiple myeloma to present in this fashion. Ophthalmologists should be aware that such a presentation may rarely be due to systemic multiple myeloma.
authors.affiliation: Sunderland Eye Infirmary, Sunderland, UK.
authors.forename: Priyanka
authors.initials: P
authors.lastname: Sharma
authors.affiliation: Sunderland Eye Infirmary, Sunderland, UK.
authors.forename: Haifa A
authors.initials: HA
authors.lastname: Madi
authors.affiliation: National Specialist Ophthalmic Pathology Service, Department of Histopathology, Manchester Royal Infirmary, Manchester, UK.
authors.forename: Richard
authors.initials: R
authors.lastname: Bonshek
authors.affiliation: Sunderland Eye Infirmary, Sunderland, UK.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Morgan
keywords: corneal crystals; crystalline keratopathy; multiple myeloma; vortex keratopathy