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  • Title: Isolated cotton-wool spots in a 67-year-old woman.
    Author: Shami MJ, Uy RN.
    Journal: Surv Ophthalmol; 1996; 40(5):413-5. PubMed ID: 8779090.
    Abstract:
    An elderly woman presented for evaluation of the recent onset of a fixed, blurry circle in the right eye. Visual acuity was 20/20 OU. Funduscopic examination revealed a newly-noticed isolated cotton-wool spot in each eye. Amsler grid testing revealed an arcuate shady area in the inferior nasal field. A thorough systemic and laboratory evaluation led to the diagnosis of multiple myeloma. The evaluation of an isolated cotton-wool spot found on funduscopic examination in the absence of diabetes and hypertension is discussed.
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