PubMed ID: 17356930
Author(s): Kumar S, Das S, Goyal JL, Chauhan D, Sangit V. Bilateral orbital tumor formation and isolated facial palsy in Waldenstrom’s macroglobulinemia. Int Ophthalmol. 2005 Dec;26(6):235-7. doi: 10.1007/s10792-007-9037-x. Epub 2007 Feb 16. PMID 17356930
Journal: International Ophthalmology, Volume 26, Issue 6, Dec 2005
A 32-year-old lady presented with bilateral painful proptosis and left infranuclear facial palsy. She was mildly anemic. Ocular examination revealed a firm non-tender mass in the super lateral quadrant of both orbits. Fine-needle aspiration cytology from the orbital mass showed the presence of lymphoplasmacytoid cells. Bone marrow aspiration also showed the presence of similar cells. An IgM monoclonal gammopathy was seen on serum protein electrophoresis. A diagnosis of Waldenstrom’s macroglobulinemia was made on the basis of these findings. Hyperviscosity retinopathy is the most commonly reported ocular abnormality in Waldenstrom’s macroglobulinemia. Orbital tumor formation and cranial nerve palsies are rarely reported in this condition. We describe the first case of Waldenstrom’s macroglobulinemia presenting as an isolated orbital mass and facial nerve palsy.