Shami M J, Uy R N
Department of Ophthalmology and Visual Sciences, Texas Tech University Health Sciences Center, Lubbock, USA.
Surv Ophthalmol. 1996 Mar-Apr;40(5):413-5. doi: 10.1016/s0039-6257(96)80072-5.
An elderly woman presented for evaluation of the recent onset of a fixed, blurry circle in the right eye. Visual acuity was 20/20 OU. Funduscopic examination revealed a newly-noticed isolated cotton-wool spot in each eye. Amsler grid testing revealed an arcuate shady area in the inferior nasal field. A thorough systemic and laboratory evaluation led to the diagnosis of multiple myeloma. The evaluation of an isolated cotton-wool spot found on funduscopic examination in the absence of diabetes and hypertension is discussed.
