Multiple Myeloma with Cytomegalovirus Retinitis

file Retina Image Bank

File number: 28048


Comments

    1. Suber S. Huang, MD, MBA (April 20 2018)

      Beautiful capture Kim! Could lighten exposure to highlight the capillaries at the junction of vascular and avascular retina. Would re-title with multiple myeloma, CMV retinitis, and occlusive vasculopathy. Superb!

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    Image of the week
    May 13, 2018
    View all images of the week
    Rating 2 ratings
    Appears in
    Miscellaneous
    Condition/keywords
    ultra-wide field imaging, fluorescein leakage, fluorescein angiogram (FA), peripheral ischemia, cystoid macular edema (CME), multiple myeloma, cytomegalovirus (CMV), intravitreal ganciclovir, positive polymerase chain reaction (PCR), right eye
    Photographer
    Kim Barrett, COA
    Imaging device
    Fundus camera
    Optos
    Description
    Ultra-wide field fluorescein angiogram of a 77-year-old male with multiple myeloma. Patient's angiogram presented significant peripheral retinal ischemia and cystoid macular edema. Patient tested positive for polymerase chain reaction, confirming cytomegalovirus retinitis. Patient is being treated with intravitreal ganciclovir and his current vision is 20/200.

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