Bilateral acute depigmentation of the iris (BADI): first reported case in Brazil

Detalhes bibliográficos
Autor(a) principal: Maestrini,Heloisa Andrade
Data de Publicação: 2013
Outros Autores: Maestrini,Angela Andrade, Machado,Danuza de Oliveira, Santos,Daniel Vitor Vasconcelos, Almeida,Homero Gusmão de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos brasileiros de oftalmologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492013000100012
Resumo: Bilateral acute depigmentation of the iris (BADI) is a recently described entity characterized by acute onset of pigment dispersion in the anterior chamber, depigmentation of the iris, and heavy pigment deposition in the anterior chamber angle. Involvement is always bilateral, simultaneous, and symmetrical. We report the case of a 61-year-old man who presented with bilateral ocular pain, red eyes, and severe photophobia. Examination revealed a dense Krukenberg spindle, heavy pigment dispersion in the anterior chamber, extensive transillumination iris defects, and a heavy pigment deposition in the trabecular meshwork bilaterally. Intraocular pressure increased to 48 mmHg in both eyes. The patient received topical steroids, maximum hypotensive treatment and oral valacyclovir. Intraocular pressure gradually decreased throughout the second and third months, and medications were gradually tapered. The time to complete resolution of pigment dispersion was 18 weeks. Visual acuity and visual fields remained normal, but the photophobia was permanent.
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spelling Bilateral acute depigmentation of the iris (BADI): first reported case in BrazilIris diseasesAcute disease, TransilluminationIntraocular pressureGonioscopyPigment epithelium of eyeCase reportsHumansMaleMiddle ageBilateral acute depigmentation of the iris (BADI) is a recently described entity characterized by acute onset of pigment dispersion in the anterior chamber, depigmentation of the iris, and heavy pigment deposition in the anterior chamber angle. Involvement is always bilateral, simultaneous, and symmetrical. We report the case of a 61-year-old man who presented with bilateral ocular pain, red eyes, and severe photophobia. Examination revealed a dense Krukenberg spindle, heavy pigment dispersion in the anterior chamber, extensive transillumination iris defects, and a heavy pigment deposition in the trabecular meshwork bilaterally. Intraocular pressure increased to 48 mmHg in both eyes. The patient received topical steroids, maximum hypotensive treatment and oral valacyclovir. Intraocular pressure gradually decreased throughout the second and third months, and medications were gradually tapered. The time to complete resolution of pigment dispersion was 18 weeks. Visual acuity and visual fields remained normal, but the photophobia was permanent.Conselho Brasileiro de Oftalmologia2013-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492013000100012Arquivos Brasileiros de Oftalmologia v.76 n.1 2013reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.1590/S0004-27492013000100012info:eu-repo/semantics/openAccessMaestrini,Heloisa AndradeMaestrini,Angela AndradeMachado,Danuza de OliveiraSantos,Daniel Vitor VasconcelosAlmeida,Homero Gusmão deeng2013-06-25T00:00:00Zoai:scielo:S0004-27492013000100012Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2013-06-25T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false
dc.title.none.fl_str_mv Bilateral acute depigmentation of the iris (BADI): first reported case in Brazil
title Bilateral acute depigmentation of the iris (BADI): first reported case in Brazil
spellingShingle Bilateral acute depigmentation of the iris (BADI): first reported case in Brazil
Maestrini,Heloisa Andrade
Iris diseases
Acute disease, Transillumination
Intraocular pressure
Gonioscopy
Pigment epithelium of eye
Case reports
Humans
Male
Middle age
title_short Bilateral acute depigmentation of the iris (BADI): first reported case in Brazil
title_full Bilateral acute depigmentation of the iris (BADI): first reported case in Brazil
title_fullStr Bilateral acute depigmentation of the iris (BADI): first reported case in Brazil
title_full_unstemmed Bilateral acute depigmentation of the iris (BADI): first reported case in Brazil
title_sort Bilateral acute depigmentation of the iris (BADI): first reported case in Brazil
author Maestrini,Heloisa Andrade
author_facet Maestrini,Heloisa Andrade
Maestrini,Angela Andrade
Machado,Danuza de Oliveira
Santos,Daniel Vitor Vasconcelos
Almeida,Homero Gusmão de
author_role author
author2 Maestrini,Angela Andrade
Machado,Danuza de Oliveira
Santos,Daniel Vitor Vasconcelos
Almeida,Homero Gusmão de
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Maestrini,Heloisa Andrade
Maestrini,Angela Andrade
Machado,Danuza de Oliveira
Santos,Daniel Vitor Vasconcelos
Almeida,Homero Gusmão de
dc.subject.por.fl_str_mv Iris diseases
Acute disease, Transillumination
Intraocular pressure
Gonioscopy
Pigment epithelium of eye
Case reports
Humans
Male
Middle age
topic Iris diseases
Acute disease, Transillumination
Intraocular pressure
Gonioscopy
Pigment epithelium of eye
Case reports
Humans
Male
Middle age
description Bilateral acute depigmentation of the iris (BADI) is a recently described entity characterized by acute onset of pigment dispersion in the anterior chamber, depigmentation of the iris, and heavy pigment deposition in the anterior chamber angle. Involvement is always bilateral, simultaneous, and symmetrical. We report the case of a 61-year-old man who presented with bilateral ocular pain, red eyes, and severe photophobia. Examination revealed a dense Krukenberg spindle, heavy pigment dispersion in the anterior chamber, extensive transillumination iris defects, and a heavy pigment deposition in the trabecular meshwork bilaterally. Intraocular pressure increased to 48 mmHg in both eyes. The patient received topical steroids, maximum hypotensive treatment and oral valacyclovir. Intraocular pressure gradually decreased throughout the second and third months, and medications were gradually tapered. The time to complete resolution of pigment dispersion was 18 weeks. Visual acuity and visual fields remained normal, but the photophobia was permanent.
publishDate 2013
dc.date.none.fl_str_mv 2013-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492013000100012
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492013000100012
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0004-27492013000100012
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.76 n.1 2013
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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