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

Arquivos Brasileiros de Oftalmologia

Heloisa Andrade Maestrini²  Angela Andrade Maestrini¹  Danuza De Oliveira Machado¹  Daniel Vitor Vasconcelos Santos¹  Homero Gusmão De Almeida¹ 

[1] ,Oculare Ophthalmology Center Glaucoma Service Belo Horizonte,Brazil

关键词: Iris diseases;    Acute disease;    Transillumination;    Intraocular pressure;    Gonioscopy;    Pigment epithelium of eye;    Case reports;    Humans;    Male;    Middle age;    Doenças da íris;    Doença aguda;    Transiluminação;    Pressão intraocular;    Gonioscopia;    Epitélio pigmentado ocular;    Relatos de casos;    Humanos;    Masculino;    Meia-idade;   

DOI  :  10.1590/S0004-27492013000100012

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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