An interesting Case report of a patient with bilateral exudative retinal detachment

Abstract

53 year old gentleman presented to us with  complaints of gradual progressive onset of defective vision both eyes for past 6 months with corrected right eye vision of 636 and left eye 160. He is a known diabetic and had history of generalised malaise bony pain both the lower limbs .Anterior segment showed RE pseudophakia and LE mature cataract. Fundus showed RE proliferative diabetic retinopathy changes with exudative retinal detachment with macular serous detachment and LE hazy media. Findings were confirmed with B scan and OCT which revealed BE exudative retinal detachment with serous detachment at the macula. Blood investigations showed ESR of 120mmhr,urine for Bence Jones proteins - negative, Serum Gamma globulin M band was positive. Bone marrow biopsy was confirmatory of multiple myeloma. The patient was started on   Chemotherapy. The case is presented to show one of the unusual ocular manifestation of multiple myeloma.