Acute-Onset Orbital Inflammation in a Patient With Multiple Myeloma

George Villatoro; Nicole Topilow; Catherine Y Liu

doi:10.1001/jamaophthalmol.2023.0021

Acute-Onset Orbital Inflammation in a Patient With Multiple Myeloma

JAMA Ophthalmol. 2023 Apr 1;141(4):394-395. doi: 10.1001/jamaophthalmol.2023.0021.

Authors

George Villatoro¹, Nicole Topilow¹, Catherine Y Liu¹

Affiliation

¹ Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, Shiley Eye Institute, University of California, San Diego, La Jolla.

PMID: 36862419
DOI: 10.1001/jamaophthalmol.2023.0021

No abstract available

Plain language summary

A 72-year-old man had right-eye conjunctival injection, chemosis, eyelid edema, and pain with eye movements. Examination showed visual acuity of 20/50, reduced ocular motility in all gazes, proptosis, and chemosis. Treatment with vancomycin and ceftriaxone and ampicillin-sulbactam was followed by symptom worsening. What would you do next?

MeSH terms

Exophthalmos*
Humans
Inflammation
Multiple Myeloma* / complications
Multiple Myeloma* / diagnosis
Multiple Myeloma* / drug therapy
Orbital Diseases* / diagnostic imaging
Orbital Diseases* / drug therapy