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Multiple myeloma involving the iris

E P Shakin1, J J Augsburger, R C Eagle

  • 1Oncology Service, Wills Eye Hospital, Philadelphia, PA 19107.

Intraocular invasion by neoplastic plasma cells is a rare ophthalmic manifestation of plasma cell dyscrasias. A 67-year-old man who had documented multiple myeloma presented with an infiltration of the iris that simulated a nongranulomatous uveitis. Cytologic examination of the aspirate obtained by anterior chamber paracentesis demonstrated that the infiltrate was composed of neoplastic plasma cells.

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