Síndrome de misdirección del humor acuoso tras cirugía filtrante de glaucoma en paciente con síndrome de transiluminación aguda iridiana bilateral (BAIT)

Pardines, F. Hernández; Verdú, Montse; Juliá, E. Font; Martín, J.C. Molina

doi:10.1016/j.oftal.2018.03.010

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…Increased IOP is present in both syndromes, but seems to be more frequent and higher in BAIT syndrome than in BADI syndrome. In BAIT, this complication occurs earlier and is especially refractory to treatment,3,23 sometimes causing true post-BAIT glaucoma, assessable by retinal nerve fiber layers OCT, and in some cases requiring a filtering surgery 23,27…”

Section: Methodsmentioning

confidence: 99%

<p>Bilateral acute iris transillumination (BAIT) syndrome: literature review</p>

Perone

Chaussard

Hayek

2019

OPTH

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The authors conducted a literature review about bilateral acute iris transillumination (BAIT) syndrome, a new and relatively unknown syndrome that should be described and made known to the greatest number to avoid potential diagnostic and therapeutic errors. The first cases date back only to 2004 and a total of 79 cases have been published to date, mainly in Europe and especially in Turkey and Belgium. It mainly affects young women between the ages of 30 and 50, and symptoms are often preceded by an upper airway infection. There is also a majority of cases where the onset of the syndrome follows oral intake of moxyfloxacin. The clinical signs are dominated by strong photophobia, secondary to a spectacular transillumination of the iris. Other classical symptoms are conjunctival infection, eye pain, blurred vision, temporary ocular hypertonia, fixed mid-dilated pupils, and pigment dispersion in the anterior chamber with pigmentary deposits in the trabecular meshwork in gonioscopy, symptoms that may be mistaken for uveitis. After a few weeks or months of evolution, persistent sequelae were pupillary atony and chronic and bilateral transillumination of the iris, leading to significant photophobia and sometimes persistent ocular hypertension. The BAIT syndrome is close to the bilateral acute depigmentation of the iris (BADI) syndrome, which is similar to BAIT but lacks associated transillumination. A few cases of patients with BAIT syndrome on one eye and BADI syndrome on the contralateral eye have been described, which confirms some form of link between the two clinical entities.

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Section: Methodsmentioning

confidence: 99%

<p>Bilateral acute iris transillumination (BAIT) syndrome: literature review</p>

Perone

Chaussard

Hayek

2019

OPTH

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“…Повышенное ВГД из-за попадания пигмента в трабекулярную зону может иметь место при обоих синдромах, но чаще встречается при синдроме BAIT, чем при синдроме BADI. При BAIT это осложнение возникает раньше и трудно поддается лечению, иногда вызывая истинную пост-BAIT глаукому, что в отдельных случаях может приводить к необходимости оперативного вмешательства [15,16]. Синдром BADI имеет более благоприятный прогноз с офтальмологической точки зрения, так как характер патологических изменений наносит переднему отрезку глаза меньший ущерб [17].…”

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Causes of Iris Depigmentation in Young and Middle Age. Clinical Example

et al. 2020

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The spontaneous change of eyes’ color is a quite rare complain in ophthalmological clinical practice for young and middle-aged patients. We consulted the 18-year-old patient complained that a month ago she noticed a change of the iris’ color. It was symmetrical in both eyes, which had lightened and acquired a “spotty appearance”. Before the appearance of these complaints, the patient had eyes of a rich dark brown color. After a comprehensive examination, the bilateral acute iris depigmentation (BADI) was diagnosed. BADI is bilateral symmetrical iris depigmentation followed by focal or diffuse stromal atrophy and pigment dispersion in the anterior segment. It is more common for young and middle-aged women, and is often asymptomatic. BADI has bilateral symmetrical iris depigmentation followed by focal or diffuse stromal atrophy and pigment dispersion in the anterior eye segment of the eye, which may affect the trabecular network. A feature of this disease is the absence of transillumination, changes in the shape of the pupil, and an inflammatory reaction. In some cases, repigmentation may occur spontaneously during the next few years. Therefore, from a prognostic point this disease has a favorable prognosis. However, patients with BADI syndrome should undergo regular ophthalmological examinations, including measurement of intraocular pressure to exclude the development of secondary open-angle pigmented glaucoma, and use sunglasses when the sun is bright. BADI syndrome must be differentiated with the following diseases: Fuchs heterochromic iridocyclitis, viral iridocyclitis caused by HSV and CMV, pigment dispersion syndrome and pseudo exfoliative glaucoma, as well as bilateral acute iris transillumination (BAIT) syndrome to make a correct diagnosis and apply adequate treatment tactics.

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Bilateral Acute Depigmentation of Iris (BADI) and Bilateral Acute Iris Transillumination (BAIT)Following Acute COVID-19 Infection

Altan

Başarır

Bayraktar

et al. 2022

Ocular Immunology and Inflammation

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Síndrome de misdirección del humor acuoso tras cirugía filtrante de glaucoma en paciente con síndrome de transiluminación aguda iridiana bilateral (BAIT)

Cited by 4 publications

References 3 publications

<p>Bilateral acute iris transillumination (BAIT) syndrome: literature review</p>

<p>Bilateral acute iris transillumination (BAIT) syndrome: literature review</p>

Causes of Iris Depigmentation in Young and Middle Age. Clinical Example

Bilateral Acute Depigmentation of Iris (BADI) and Bilateral Acute Iris Transillumination (BAIT)Following Acute COVID-19 Infection

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