Abstract
A 75 year lady presented with the complaints of double vision on up gaze since 1 year and gradually progressive painless protrusion of the left eye since 2 months. There was a history of repeated admission to the hospital in past 1 year for weakness. On systemic examination patient had pallor, pedal edema and a borderline splenomegaly. Ocular examination revealed eccentric proptosis. CT scan of head and orbit showed an isointense ill-defined mass in superior anterio-lateral extraconal space extending to the medial side which was eroding the fronto-zygomatic bones. Fine Needle aspiration cytology showed binucleate plasma cells and plasma blasts suggestive of multiple myeloma. Serum electrophoresis showed 2 abnormal bands of paraproteins in the gamma region. Though uncommon, proptosis could be the initial presentation of multiple myeloma. A high clinical suspicion helps us to make a diagnosis of multiple myeloma. Early diagnosis and timely treatment would help to prolong the patient\'s life and to improve quality of life. Key words: Multiple myeloma, Unilateral proptosis, Plasma cell
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