Abstract

A 63-year-old female with IgA kappa myeloma in remission on maintenance therapy with lenalidomide developed a left intraocular pressure of 30 mm Hg, anterior granulomatous uveitis, and an iridociliary amelanotic mass inferiorly (Fig. 1A, inset) that infiltrated the angle from 2–11 o'clock meridians (arrows). The patient previously had been unresponsive to maximum steroid and hypotensive eyedrops. Systemic work-up was negative for infection, inflammation, and myeloma activity. Intralesional aspiration biopsy with immunohistochemistry confirmed plasmacytoma (Fig.

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