Multipl myelomlu bir olguda bilateral arka sklerit

Abstract

A 78-year-old female patient presented with complaints of decreased vision accompanied by redness and pain in both eyes for 1 week. She was diagnosed as having immunoglobulin G kappa type smoldering multiple myeloma 1 year ago. The dilated fundus examination revealed choroidal folds at the posterior pole and exudative retinal detachment in the peripheral area in both eyes. According to these findings, the patient was diagnosed with bilateral posterior scleritis and corticosteroid treatment was started. Osteoporotic bone lesions, anemia, and hypercalcemia were detected during the systemic examination, and the patient was diagnosed with immunoglobulin G kappa type multiple myeloma. (Turk J Ophthalmol 2014; 44: 481-3)

Özet

Yetmiş sekiz yaşında kadın hasta her iki gözünde 1 haftadır devam eden görmede azalma, kırmızılık ve ağrıyla başvurdu. Hastaya 1 yıl önce immünglobülin G kappa tipi sessiz multipl myelom tanısı konulmuştu. Dilate fundus muayenesinde her iki gözde arka kutupta koroid kıvrımları ve perifer bölgede eksüdatif retina dekolmanı mevcuttu. Bu bulgular ile hastaya bilateral arka sklerit tanısı konuldu ve kortikosteroid tedavisi başlandı. Sistemik muayenede osteoporotik kemik lezyonları, anemi ve hiperkalsemi saptandı ve hastaya IgG kappa tipi multipl myelom tanısı konuldu. (Turk J Ophthalmol 2014; 44: 481-3)