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J Glaucoma ; 27(9): e145-e147, 2018 09.
Article in English | MEDLINE | ID: mdl-29863539

ABSTRACT

PURPOSE: We describe a case of bilateral angle closure glaucoma following the infusion of daratumumab, a monoclonal antibody used to treat relapsing multiple myeloma. METHODS: This is an interventional case report. RESULTS: A 59-year-old woman presented with bilateral angle closure glaucoma one day following her first infusion of daratumumab. B-scan echography showed ciliochoroidal effusions in both eyes. Cycloplegia was implemented given the suspicion for drug-induced angle closure, which resulted in prompt deepening of the anterior chambers and normalization of intraocular pressures. The ciliochoroidal effusions resolved 16 days following the cessation of daratumumab. CONCLUSIONS: Daratumumab may be associated with drug-induced secondary angle closure glaucoma.


Subject(s)
Antibodies, Monoclonal/adverse effects , Antineoplastic Agents/adverse effects , Glaucoma, Angle-Closure/chemically induced , Multiple Myeloma/drug therapy , Antibodies, Monoclonal/administration & dosage , Antineoplastic Agents/administration & dosage , Female , Glaucoma, Angle-Closure/diagnosis , Glaucoma, Angle-Closure/physiopathology , Gonioscopy , Humans , Infusions, Intravenous , Intraocular Pressure/drug effects , Intraocular Pressure/physiology , Middle Aged
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