A previously healthy 42-year-old man complained of sudden visual loss in the left
eye 1 day before the consultation. Funduscopic examination showed the right eye with
dilatation and tortuosity of the veins, multiple Roth spots, flame-shaped and dot-blot
intraretinal hemorrhages. Optic nerve and foveola showed no alterations (Fig. 1.1). The left eye showed similar characteristics but with more abundant and confluent
hemorrhages. A preretinal hemorrhage was present on the macula, which explains the
sudden loss of vision (Fig. 1.2). He was referred for a multidisciplinary evaluation, and diagnostic studies were
conclusive for multiple myeloma.
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Publication History
Published online: September 17, 2020
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© 2020 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
