Bilateral acute iris transillumination syndrome. A case report

Abstract

Objective: To present a case report of a patient with a bilateral acute iris transillumination syndrome (BAIT).

Methods: BAIT syndrome is a new clinical condition characterised by severe transillumination of the iris, acute onset of pigment dispersion in the anterior chamber, and a medial mydriatic pupil that is unresponsive or poorly responsive to light, due to a sphincter paralysis. Patients with BAIT generally present with acute ocular pain, photophobia, and red eyes.

Discussion: The case is presented of a 53 year-old woman, who, after being treated with moxifloxacin for an upper respiratory tract infection, developed a BAIT syndrome, which was initially diagnosed as acute anterior uveitis.

Conclusion: As far as is known this is the first case reported in Navarra, but more case reports are needed to establish clear patterns about this condition.

Keywords: Intraocular pressure; Iris transillumination; Moxifloxacin; Moxifloxacino; Presión intraocular; Transiluminación iridiana.