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Journal : International Journal of Retina

Resolution of Retinal Bleeding And Exudative Retinal Detachment After Chemotherapy with Melphalan In Multiple Myeloma Andayani, Ari; Budhiastra, I Putu; Adnyana, I Wayan Losen; Wijayati, Made Paramita
International Journal of Retina Vol 1 No 1 (2018): International Journal of Retina (IJRetina) - INAVRS
Publisher : International Journal of Retina

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Abstract

Introduction: Multiple myeloma is the second most common hematologic cancer. It is characterized by the clonal proliferation of malignant plasma cells and associated organ dysfunction. Ophthalmic manifestations include hyperviscosity retinopathy and retinal detachment. The aim of this study is to report retinal manifestation in Multiple Myeloma. Methods: A man 45 years old, complained loss of vision on both eyes especially left eye over 1 month. He also feels weakness and 3 times spontaneous nose bleeding. His visual acquity is 6/12 on the right and 2/60 left eye with Retinal Bleeding and Retinal Detachment. His Laboratory examination result increase in WBC 65.91 x 103/µL (Neutrophil, Monocyte, Basophil and Lymphocyte) decrease RBC 3 x 106/µL, HGB 6.85 g/dL, normal PLT 193.60 103/µL, Normal Bleeding and Clotting Time and increase ESR 140 mm/hour. Multiple myeloma was diagnosed by Internal Department with bone marrow biopsy and increase of Gamma Globulin. Results: The patient was treated with melphalan 3 tablet 2 times a day and prednisone 4 mg 3 times a day for 5 days every 28 days.  After 8 month the VA 6/6 on the right and 6/10 on the left with complete resolution of on the right eye and there are resolution on the left eye with fibrosis, the laboratory examination normal WBC 3.8 x 103/µL with Neutrophil 59.3%, Monocyte 6.1 %, Eosinophil 6.3 %, Basophil 0.3 % and Lymphocyte 28.0 %, normal RBC 4.6 x 106/µL, slightly decrease HGB 12.8 g/dL, normal PLT 177.0 x 103/µL and decrease Gamma Globulin. Discussion: This case of bilateral Retinal Bleeding and Exudative Retinal Detachment are remarkable for both its presentation and response to melphalan therapy. Treatment with melphalan and prednison alone was sufficient to clear the Retinal Bleeding and restoration of Exudative Retinal Detachment. Conclusion: Complication of Multiple Myeloma can caused organ disfunction such as retinal bleeding and exudative retinal detachment. Early Diagnosis  is very crucial. In our case combination cemotheraphy with  Melphalan and Prednison showed clinically significant resolution. Workship Internal Department and Ophthalmology Department are very important for management and monitoring ophthalmology manifestation in multiple myeloma.
Co-Authors Agrasidi, Putu Anindya Agus Kurniawan Agus Kurniawan Agus Kurniawan Agustiawan, Referano Agustinus Bimo Gumelar Amicipta Sanjaya Anak Agung Mas Putrawati Triningrat ANASARY, A. A. AYU PUTRI PREMATURA SRI Anasary, Anak Agung Ayu Putri Prematura Sri Andayani, Gitalisa andriyani, fajar Angelina S Tallo Anggrawati, Anggrawati Ari Suryathi, Ni Made Arief S. Kartasasmita Ariesanti Tri Handayani, Ariesanti Tri Arismaya, Anggun Mita Baiq Hilda Astriana, Baiq Hilda Bella Safitri Bobby Kristianto Bora, Elaria Dharma, Andhika Guna Djatikusumo, Ari Elvioza Elvioza, Elvioza Firmansyah, M fitriani, indra Harley, Ohisa Hendrawan, Kevin Hendrawan, Kevin Anggakusuma Heni Setyowati I Gde Raka Widiana I Gusti Ayu Ratna Suryaningrum I Made Gede Widnyana I Putu Budhiastra, I Putu I Wayan Gede Jayanegara I Wayan Losen Adnyana Ichsan, Andi M Ida Bagus Putra Manuaba Iskandar, Erwin Jayawarsa, A.A. Ketut Juliari, I Gusti Ayu Made Juliari, IGAM Komang Putra Tridiyoga Kristianto, Bobby Lallo, Poulina Liviyanti, Liviyanti Lulyana, Lulyana Made Agus Kusumadjaja Made Ayu Hapsari Dwi Ambarini Maria Rumperiai, Juliana Martin Hertanto Minarni, May Moneca Diah Listiyaningsih N. M. Lienderi-Wati Nadia Artha Dewi Nadiah Nadiah Ni Made Ari Suryathi Ni Made Ayu Surasmiati Ni Made Laksmi Utari Ninik Christiani Noviantari, I Gusti Agung Ratna Nurlaili, Ilfi nurliah, nurliah nurlistiani, umi Nyoman Novita Rismawati, Nyoman Novita P. Budhiastra Pande Putu Adityo Ananta Ardika Pantjawati, Ni Luh Diah Pemayun, Cok Istri Dewiyani Pitanatri, Nyoman Brahmani Prakriti, Daivi Priscilla Christina Natan Putrawati Triningrat, Anak Agung Mas Putu Budhiastra Putu Budhiastra Retnaningtyas, Erma Retno Palupi Ririn Sulistyowati rizmi sliviana, zelda Rohana Satya Nugraha Sembiring, Sindy Boru Septabela Mahardika Siska Siska Siti Haryani Sjahreza, Emil Sucilasmi Sukartini Djelantik, Anak Agung Ayu Sukidja, Sukidja Sukmawati, Nurindah supraptini, hemi Suryanadi, Ni Made Suryawijaya, Ernes Erlyana Susilo, Teguh Sutyawan, I Wayan Eka Titiek, Ernawati Tridiyoga, Komang Putra Triningrat, A.A. Mas Putrawati Triningrat, Anak Agung Mas Putrawati Tya Lestari Umbu Lapu, Ervan Suryanti Utari, Ni Made Laksmi Wahyu Setya Ningsih Wibawa, I Made Dwi Surya Widayati, Wijayati, Made Paramita Winly, Winly Yamba kodi, Elvira Yudistira Yudistira Yuliarta, Marliana Yuliawati, Putu Yustiarini, Ima