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Purpose: To report a masquerade syndrome secondary to multiple myeloma iris infiltration. Design: Observational case report. Methods: A 74-year-old Caucasian woman presenting with unilateral hypertensive uveitis and past medical history significant for multiple myeloma underwent aqueous cytology and a trabeculectomy with iridectomy. Results: Cytology revealed atypical plasma cells in the aqueous while the anatomopathologic analysis of iris tissue demonstrated a substitution of the iris tissue by neoplastic plasma cells. After surgery and a new cycle of chemotherapy best-corrected visual acuity and intraocular pressure improved. Conclusions: Masquerade syndrome should always be considered in elderly uveitis. A correct diagnosis can be life-saving.
S. Guerriero. Universit Degli Studi di Bari, Piazza G. Cesare, 11, 70124 Bari, Italy. silvanaguerriero@gmail.com
9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
9.4.6 Glaucomas associated with inflammation, uveitis (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)