A 56-year-old woman with a history of relapsed/refractory IgG kappa multiple myeloma presented with a 3-day history of right eye redness, pain, photophobia and profound visual decline.

She reported frequent overnight wear of daily disposable soft contact lenses.

Figure 1. Slit lamp photographs of the right eye on the first encounter. The eye showed marked upper eyelid edema, 3 to 4+ conjunctival injection with inferior chemosis, a central corneal ulcer with a 4.6-mm ring infiltrate, dense stromal haze and an inferior hypopyon. Temporal limbal clumping of infiltrate with overlying mucopurulent material was also observed without any keratic precipitate nor iris nodule (a). Cobalt blue illumination highlighted a large epithelial defect measuring 4.7 mm horizontally × 7 mm vertically, extend

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