title: Serous macular detachment, yellow macular deposits, and prominent middle limiting membrane in multiple myeloma.
abstract: Bone marrow-derived multiple myeloma is a type of plasma cell tumor that may be associated with ocular complications. A 52-year-old male patient was admitted to our eye clinic with the complaint of sudden visual loss and a visual acuity of 20/50 in the right eye and 20/800 in the left eye. Fundus examination revealed common flame-shaped hemorrhages, venous dilatation and tortuosity, Roth spots, serous macular detachment, and yellow macular deposits in both eyes. Evaluation with fundus fluorescein angiography, fundus autofluorescence, and spectral-domain optical coherence tomography resulted in suspicion of hyperviscosity retinopathy and referral to the hematology clinic. After hematology consultation confirmed a diagnosis of multiple myeloma, chemotherapy and plasmapheresis were initiated. Four months after presentation, best-corrected visual acuity was 20/20 in both eyes and improvement in hyperviscosity retinopathy, serous macular detachment, and yellow macular deposits was observed.
authors.affiliation: Antalya Training and Research Hospital, Eye Clinic, Antalya, Turkey.
authors.forename: Berna
authors.initials: B
authors.lastname: Dogan
authors.affiliation: Antalya Training and Research Hospital, Eye Clinic, Antalya, Turkey.
authors.forename: Muhammet Kazim
authors.initials: MK
authors.lastname: Erol
authors.affiliation: Antalya Training and Research Hospital, Eye Clinic, Antalya, Turkey.
authors.forename: Devrim
authors.initials: D
authors.lastname: Toslak
authors.affiliation: Antalya Training and Research Hospital, Eye Clinic, Antalya, Turkey.
authors.forename: Deniz Turgut
authors.initials: DT
authors.lastname: Coban
authors.affiliation: Antalya Training and Research Hospital, Eye Clinic, Antalya, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Bulut
authors.affiliation: Antalya Training and Research Hospital, Eye Clinic, Antalya, Turkey.
authors.forename: Ayse
authors.initials: A
authors.lastname: Cengiz
authors.affiliation: Balıkesir University Medicine Faculty, Eye Clinic, Balıkesir, Turkey.
authors.forename: Esin Sogutlu
authors.initials: ES
authors.lastname: Sari
keywords: multiple myeloma; prominent middle limiting membrane; serous macular detachment; yellow macular deposit