Abstract
Purpose:To report a case of paracentral acute middle maculopathy as the earliest sign of an undiagnosed, life-threatening hyperviscosity syndrome.Methods:A 78-year-old man with an acute paracentral scotoma and examination findings of bilateral arteriolar tortuosity and unilateral paracentral acute middle maculopathy.Results:Work-up revealed anemia and elevated serum viscosity. Protein electrophoresis demonstrated an immunoglobulin M kappa monoclonal protein spike, and bone marrow biopsy confirmed an immunoglobulin M gammopathy consistent with Waldenström macroglobulinemia. Systemic chemotherapy was initiated.Conclusion:This case demonstrates typical optical coherence tomography findings of paracentral acute middle maculopathy, which led to the diagnosis of a rare lymphoproliferative disorder. This highlights the importance of a prompt work-up for paracentral acute middle maculopathy to detect underlying systemic diseases, including hyperviscosity syndromes.
Original language | English (US) |
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Pages (from-to) | 343-345 |
Number of pages | 3 |
Journal | Retinal Cases and Brief Reports |
Volume | 17 |
Issue number | 4 |
DOIs | |
State | Published - Jul 1 2023 |
Keywords
- Waldenström macroglobulinemia
- hyperviscosity syndrome
- lymphoproliferative disorder
- paracentral acute middle maculopathy
ASJC Scopus subject areas
- Ophthalmology