Asian Journal of Research and Reports in Ophthalmology

Central retinal vein occlusion is a cause of acute unilateral painless visual loss in the elderly, while bilateral central retinal vein occlusion in a young patient is a rare presentation.

We present a case of a 41-year-old gentleman, without previously identified risk factors, coming with bilateral retinal vein occlusion. His evaluation revealed multiple myeloma with type 1 cryoglobulinaemia as the underlying cause for hypercoagulability.

Our patient’s story illustrates that myeloma should be considered as a differential for bilateral retinal vein occlusion especially when it occurs in the absence of other underlying risk factors.