Bilateral acute iris transillumination: Case report

Articles > Article · 2015

Authors: Cumali DEĞİRMENCİ, Suzan Güven Yılmaz, Melis PALAMAR ONAY, HALİL ATEŞ

Saudi Journal of Ophthalmology, Refereed Journals of Other Institutions, International, Scopus, 2015, vol 30, pp 122-124

DOI: 10.1016/j.sjopt.2015.11.009

Summary

Bilateral acute iris transillumination (BAIT) is a recently defined disease characterized with bilateral acute, severe pigment dispersion of iris and pupil sphincter paralysis. The etiopathogenesis of the disease is unknown, but antibiotics such as moxifloxacin, clarithromycin, viral infections, and fumigation therapies were considered as probable etiologic factors. A 33-year-old female was referred to our clinic for acute iridocyclitis refractory to azathioprine, colchicum and corticosteroid treatments. Ophthalmic examination revealed bilateral pigment dispersion, significant iris transillumination, heavy pigment deposition in iridocorneal angle, and elevated intraocular pressure. Upon systemic evaluation she was found to have bacterial urinary tract infection. BAIT is an important cause of pigment dispersion and clinicians must be vigilant for this condition to avoid unnecessary diagnostic tests and treatment.

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