Bilateral Acute Depigmentation of the Iris Following Refractive Surgery - An Untold Story

Abstract

Bilateral Acute Depigmentation of the Iris (BADI) is defined as an acute, symmetric, bilateral depigmentation of the iris stroma without transillumination associated with pigment deposition in the anterior chamber and the iridocorneal angle. We hereby report a case of a 30-year-old female who had undergone photorefractive keratectomy in both eyes 45 days back and was on a tapering dose of a combination of moxifloxacin and dexamethasone as a postoperative regimen, presented with mild pain, and redness for 2 days. Examination revealed bilateral pigment dispersion on the corneal endothelium and the anterior chamber with loss of normal iris pattern with raised intraocular pressure. She was treated with a short course of steroids and antiglaucoma medications and the condition completely resolved. By understanding this condition and providing appropriate treatment, unnecessary tests and treatments can be avoided.