Rapidly progressing glaucoma associated with monoclonal gammopathy.
A 63 year old woman with surgically controlled primary open-angle glaucoma developed sudden visual field deterioration and subjective visual loss despite stable intraocular pressure in both eyes. An extensive systemic workup was performed which revealed a diagnosis of monoclonal gammopathy of undetermined significance. Further work-up should be considered when the extent of a patient's vision changes is not consistent with a known preexisting disease such as glaucoma.
Baylor College of Medicine, Houston, TX.
Lauren J
LJ
Jeang
Peter T
PT
Chang
Benjamin J
BJ
Frankfort
D000959:Antihypertensive Agents / Q000627:therapeutic use; D018450:Disease Progression; D004359:Drug Therapy, Combination; D005260:Female; D005902:Glaucoma, Open-Angle / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D006801:Humans; D007146:Immunoglobulin lambda-Chains / Q000276:immunology*; D007429:Intraocular Pressure / Q000502:physiology; D008875:Middle Aged; D010265:Paraproteinemias / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D014065:Tonometry, Ocular; D014786:Vision Disorders / Q000175:diagnosis; D014794:Visual Fields
D000959:Antihypertensive Agents; D007146:Immunoglobulin lambda-Chains