PDF(Pubmed)
Abstract：
Orbital manifestations are rarely observed in multiple myeloma (MM) and when they occur, they are often the first manifestation. We report a rare occurrence of vision loss in a 51-year-old female from orbital metastases in MM without proptosis or diplopia. The ophthalmic presentation of MM is usually progressive proptosis, pain, diplopia, and visual loss. The presence of metastasis in MM indicates poor prognosis and orbital metastases have worse survival rates. In conclusion, in cases of profound vision loss with no obvious cause, neuroimaging should be performed to evaluate the orbital extent of the disease and exclude intracranial pathology.
摘要：
在多发性骨髓瘤（MM）中很少观察到眼眶表现，当它们发生时，它们往往是第一个表现。我们报告了一名51岁女性因MM的眼眶转移而罕见的视力丧失，而没有眼球突出或复视。MM的眼科表现通常是进行性突出，疼痛,复视,和视觉损失。MM中转移的存在表明预后不良，眼眶转移的生存率较差。总之,在没有明显原因的深度视力丧失的情况下，应进行神经影像学检查以评估疾病的眼眶范围并排除颅内病理。
