A 65-year-old man with Waldenstr?m¡¯s macroglobulinemia was evaluated because of an 8-day history of bilateral eye pain and decreased vision. He had decreased visual acuity, dyschromatopsia, visual field loss, a relative afferent pupillary defect, and an abnormal appearance of the optic disk. A diagnosis was made.
Funding and Disclosures
This case was presented at Neurology Grand Rounds.
Disclosure forms provided by the authors are available at NEJM.org.
We thank Drs. Lawrence R. Zukerberg and Mandakolathur R. Murali for assistance with the pathological discussion.
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