Ophthalmic manifestations of haematological disorders.

[waldenström macroglobulinemia]

Five case histories are presented . Waldenstrom 's macroglobulinaemia caused bilateral central retinal vein occlusion , proptosis was the presenting feature of retro-orbital plasmacytoma in relapsed multiple myeloma , a red painful eye was due to neovascular glaucoma in primary polycythaemia , bilateral VIth nerve palsy caused convergent squint and diplopia in meningeal relapse of acute lymphoblastic leukaemia and lymphoma of the eyelid caused complete ptosis . Interdisciplinary management is described . Ophthalmological lesions in haematological disease should be promptly recognized and managed . Collaboration between ophthalmology and haematology departments may be effective for palliative management .