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Arch Ophthalmol. 2001;119:911-913.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

An unusual maculopathy with macular detachment has been described in patients with immunogammopathies. We observed this type of maculopathy in a patient with type 2 diabetes mellitus and had the opportunity to study the condition with optical coherence tomography. Optical coherence tomography showed not only a neurosensory macular detachment, but also a retinal pigment epithelium (RPE) detachment.

Report of a Case

A 77-year-old man with type 2 diabetes mellitus had reading and driving difficulties. Physical examination revealed poor diabetic control and monoclonal IgM paraproteinemia (IgM level, 46 g/L; reference range, 0.4-2.3 g/L), with 52% plasmocytes in bone marrow aspirate. There was mild anemia (hemoglobin level, 9-11 g/L) and carotid insufficiency, with 50% to 80% stenosis of the left internal carotid artery and no significant abnormalities in other arteries. The patient was normotensive without intake of antihypertensive agents, and there was no evidence of heart or kidney disease. Initially the diagnosis of Waldenström syndrome was . . . [Full Text of this Article]

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