Dr.Anjana Devi Rudra Warrier
A 67 year old lady who was diagnosed to have Multiple Myeloma was started on chemotherapy with Bortezomib, Lenalidomide and Dexamethasone and was given injection Zoledronic acid. She started having pain and redness in both eyes on the next day. She was diagnosed to have both eyes Anterior Uveitis and was treated with topical steroids and cycloplegics. Uveitis was treated completely and she did not have any recurrence, even after completing the course of chemotherapy and getting injection Zoledronic acid every month for 6 months. She had 2 episodes of mild Episcleritis, which was treated with nonsteroidal anti inflammatory eye drops. Bisphosphonate induced uveitis and scleritis has been well documented in literature, but this patient developed uveitis only after the first dose. An attempt is made to explain the reasons.
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