Bilateral acute iris transillumination (BAIT) initially misdiagnosed as acute iridocyclitis.

Abstract

Bilateral acute iris transillumination (BAIT) is a relatively new clinical entity characterized by bilateral acute loss of iris pigment epithelium, iris transillumination, pigment dispersion in the anterior chamber, and sphincter paralysis. We report the case of a 30-year-old male who was initially diagnosed with acute iridocyclitis in a different clinic and treated with topical and systemic corticosteroids. He was referred to our clinic to seek another opinion because his symptoms did not improve. An ocular examination revealed bilateral pigment dispersion into the anterior chamber, diffuse iris transillumination, pigment dusting on the anterior lens capsule, atonic and distorted pupils, and increased intraocular pressure, suggesting a diagnosis of BAIT rather than iridocyclitis. Clinicians should be aware of the differential diagnosis of syndromes associated with pigment dispersion from iridocyclitis to avoid aggressive anti-inflammatory therapy and detailed investigation for uveitis.

• Authors: Saban Gonul, Banu Bozkurt
• Journal: Arquivos brasileiros de oftalmologia (Arq Bras Oftalmol) 2015 Mar-Apr Vol. 78 Issue 2 Pg. 115-7 ISSN: 1678-2925 [Electronic] Brazil
• PMID: 25945534 (Publication Type: Case Reports, Journal Article)

Chemical References

• Adrenal Cortex Hormones

Topics

• Acute Disease
• Adrenal Cortex Hormones (therapeutic use)
• Adult
• Diagnosis, Differential
• Humans
• Iridocyclitis (diagnosis, drug therapy)
• Iris Diseases (diagnosis, drug therapy)
• Male
• Pigment Epithelium of Eye (pathology)
• Pigmentation Disorders (diagnosis, drug therapy)