Lohit Kumar Kalita1, Chayanika Kalita2, Pabitra Kumar Gogoi3, Umesh Ch. Sarma4
We report a case of a 54-year-old female with history of multiple myeloma on remission with botizomib-dexamethasone regien treatment presents with enlargement and coming out of her right eye with pain, swelling, tearing and pain in the backbone. On examination, it was found that she has proptosis, chemosis, and diplopia along with marked diminision of vision. Initial workup and treatment did not yield significant results; eventually she was found to have myelomatous changes in her right orbit on CT scan & magnetic resonance imaging (MRI) of orbit and was diagnosed with multiple myeloma of the orbit that resolved some amount with radiation. This case tends to highlight the importance of considering myeloma of the orbit in a multiple myeloma patient who is on remission with chemotherapy.
