Figure 1. (A) Left fundus photo showing optic disc swelling, engorged retinal veins, retinal hemorrhages and cotton wool spots. (B) Optical coherence tomography (OCT) scan of left macula showing cystoid macu- lar edema. (C) Normal OCT scan of right macula. (D) Immunofixation gel of patient�s serum demonstrating the presence of abnor- mal monoclonal IgM kappa and IgG lambda paraprotein bands.