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Central retinal vein occlusion due to hyperviscosity syndrome
C C Chiang1, S Begley, S O Henderson
1Department of Emergency Medicine, LAC+USC Medical Center, Los Angeles, California 90033, USA.
The Journal of Emergency Medicine
|January 25, 2000
Summary
A 57-year-old man experienced sudden vision loss due to central retinal vein occlusion (CRVO). This CRVO was caused by hyperviscosity syndrome from multiple myeloma, a rare but serious condition.
Area of Science:
- Ophthalmology
- Hematology
- Internal Medicine
Background:
- Central retinal vein occlusion (CRVO) is a serious vascular event in the eye.
- Hyperviscosity syndrome can lead to various systemic and ocular complications.
Observation:
- A 57-year-old male presented with acute, painless vision loss in the left eye.
- Initial diagnosis was CRVO, with further investigation revealing underlying multiple myeloma.
Findings:
- The patient's CRVO was directly attributed to hyperviscosity syndrome secondary to multiple myeloma.
- Two plasmapheresis treatments resulted in partial visual recovery.
Implications:
- This case highlights the importance of investigating underlying systemic causes for CRVO, especially in younger patients.
- Early diagnosis and management of hyperviscosity syndrome are crucial for preserving vision and overall health.