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Uveal effusion associated with an IgM lambda subtype monoclonal gammopathy
1Departamento de Retina y Vítreo, Hospital de l'Esperança, Parc de Salut Mar, Barcelona, España.
Archivos De La Sociedad Espanola De Oftalmologia
|December 28, 2013
Summary
Monoclonal gammopathy of undetermined significance (MGUS) can cause uveal effusion, a rare condition of fluid accumulation in the eye. This case highlights a new association between IgM lambda MGUS and uveal effusion.
Area of Science:
- Ophthalmology
- Hematology
Background:
- Uveal effusion is a rare condition characterized by the accumulation of protein-rich fluid in the suprachoroidal space.
- It can lead to decreased visual acuity and other visual disturbances.
- The exact etiology of uveal effusion remains unclear in many cases.
Observation:
- A 68-year-old male presented with progressive vision loss in his right eye.
- Ophthalmic examination revealed a moderate cataract and annular choroidal thickening.
- Diagnostic imaging, including ultrasound and angiography, confirmed uveal effusion.
Findings:
- Laboratory investigations identified an IgM lambda subtype monoclonal gammopathy of undetermined significance (MGUS).
- This specific subtype of MGUS has not been previously associated with uveal effusion.
- The patient underwent cataract surgery and received a sub-Tenon's triamcinolone injection, resulting in a satisfactory short-term outcome.
Implications:
- This case report suggests a potential link between IgM lambda MGUS and the development of uveal effusion.
- It expands the spectrum of systemic conditions associated with uveal effusion.
- Further research is warranted to elucidate the underlying mechanisms connecting MGUS and uveal effusion.
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