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

Detalhes bibliográficos
Autor(a) principal: Gonul,Saban
Data de Publicação: 2015
Outros Autores: Bozkurt,Banu
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Arquivos brasileiros de oftalmologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492015000200012
Resumo: 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.
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spelling Bilateral acute iris transillumination (BAIT) initially misdiagnosed as acute iridocyclitisIris diseases/diagnosisPigment epithelium of eye/pathologyTransilluminationIridocyclitis/diagnosisDiagnosis, differentialCase reportsBilateral 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.Conselho Brasileiro de Oftalmologia2015-04-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492015000200012Arquivos Brasileiros de Oftalmologia v.78 n.2 2015reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.5935/0004-2749.20150029info:eu-repo/semantics/openAccessGonul,SabanBozkurt,Banueng2015-04-27T00:00:00Zoai:scielo:S0004-27492015000200012Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2015-04-27T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false
dc.title.none.fl_str_mv Bilateral acute iris transillumination (BAIT) initially misdiagnosed as acute iridocyclitis
title Bilateral acute iris transillumination (BAIT) initially misdiagnosed as acute iridocyclitis
spellingShingle Bilateral acute iris transillumination (BAIT) initially misdiagnosed as acute iridocyclitis
Gonul,Saban
Iris diseases/diagnosis
Pigment epithelium of eye/pathology
Transillumination
Iridocyclitis/diagnosis
Diagnosis, differential
Case reports
title_short Bilateral acute iris transillumination (BAIT) initially misdiagnosed as acute iridocyclitis
title_full Bilateral acute iris transillumination (BAIT) initially misdiagnosed as acute iridocyclitis
title_fullStr Bilateral acute iris transillumination (BAIT) initially misdiagnosed as acute iridocyclitis
title_full_unstemmed Bilateral acute iris transillumination (BAIT) initially misdiagnosed as acute iridocyclitis
title_sort Bilateral acute iris transillumination (BAIT) initially misdiagnosed as acute iridocyclitis
author Gonul,Saban
author_facet Gonul,Saban
Bozkurt,Banu
author_role author
author2 Bozkurt,Banu
author2_role author
dc.contributor.author.fl_str_mv Gonul,Saban
Bozkurt,Banu
dc.subject.por.fl_str_mv Iris diseases/diagnosis
Pigment epithelium of eye/pathology
Transillumination
Iridocyclitis/diagnosis
Diagnosis, differential
Case reports
topic Iris diseases/diagnosis
Pigment epithelium of eye/pathology
Transillumination
Iridocyclitis/diagnosis
Diagnosis, differential
Case reports
description 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.
publishDate 2015
dc.date.none.fl_str_mv 2015-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492015000200012
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492015000200012
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/0004-2749.20150029
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
publisher.none.fl_str_mv Conselho Brasileiro de Oftalmologia
dc.source.none.fl_str_mv Arquivos Brasileiros de Oftalmologia v.78 n.2 2015
reponame:Arquivos brasileiros de oftalmologia (Online)
instname:Conselho Brasileiro de Oftalmologia (CBO)
instacron:CBO
instname_str Conselho Brasileiro de Oftalmologia (CBO)
instacron_str CBO
institution CBO
reponame_str Arquivos brasileiros de oftalmologia (Online)
collection Arquivos brasileiros de oftalmologia (Online)
repository.name.fl_str_mv Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)
repository.mail.fl_str_mv aboonline@cbo.com.br||abo@cbo.com.br
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