TECLISTAMAB-ASSOCIATED SCLEROUVEITIS WITH HYPOPYON.

Retin Cases Brief Rep

Scheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania; and.

Published: September 2024

AI Article Synopsis

  • A case report details a 62-year-old woman with multiple myeloma who developed eye issues after starting teclistamab, a new treatment for her condition.
  • She experienced right eye pain and reduced vision, leading to the diagnosis of sclerouveitis with hypopyon shortly after beginning the medication.
  • Treatment involved antibiotics and steroids; her condition improved, suggesting that teclistamab might be related to her eye complications based on a probable adverse drug reaction assessment.

Article Abstract

Purpose: To report a case of presumed teclistamab-associated sclerouveitis with hypopyon.

Methods: Case report.

Results: A 62-year-old woman with relapsed refractory multiple myeloma presented with right eye pain and decreased vision 1 week after starting teclistamab and was found to have sclerouveitis with hypopyon. She received intravitreal vancomycin and ceftazidime because of the concern for infectious endophthalmitis, but cultures were negative. Systemic workup for infectious and inflammatory etiologies was unremarkable. Her signs and symptoms improved with topical steroids and a 1-week pause in teclistamab. This case constituted a Naranjo Adverse Drug Reaction Probability Scale score of 5, representing a "probable" association.

Conclusion: Teclistamab, a novel bispecific antibody recently approved for the treatment of relapsed or refractory multiple myeloma, may be associated with sclerouveitis with hypopyon.

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Source
http://dx.doi.org/10.1097/ICB.0000000000001449DOI Listing

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