| CASE REPORT |
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| Year : 2021 | Volume
: 11
| Issue : 1 | Page : 97-100 |
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Optic nerve head plasmacytoma as a manifestation of multiple myeloma
Kaitlin P Sandor1, Jonathan A Micieli2, Jason H Peragallo3
1 Department of Ophthalmology, Emory University, Atlanta, GA, USA
2 Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada
3 Department of Ophthalmology; Department of Pediatrics, Emory University, Atlanta, GA, USA
Correspondence Address:
Kaitlin P Sandor
Emory Eye Center, 1365-B Clifton Road, NE, Atlanta, GA 30322
USA
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/tjo.tjo_81_20
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Extramedullary disease in multiple myeloma is uncommon and associated with a poorer prognosis. Extramedullary disease involving the orbit is even more unusual, with optic nerve involvement being rare. We describe an optic nerve head plasmacytoma in a 45-year-old female in the setting of systemic relapsed, refractory IgA kappa multiple myeloma. The case highlights the importance of keeping extramedullary disease spread in the differential for vision loss in a patient with a history of multiple myeloma. In addition, it describes an unusual location for presentation of extramedullary disease, the optic nerve head, which has rarely been described.
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