Gonul Saban, Bozkurt Banu, Okudan Suleyman, Tugal-Tutkun Ilknur
Department of Ophthalmology, Faculty of Medicine, Selcuk University , Konya , Turkey and.
Cutan Ocul Toxicol. 2015 Mar;34(1):80-3. doi: 10.3109/15569527.2014.886589. Epub 2014 Mar 31.
Bilateral acute iris transillumination (BAIT) is a relatively new clinical entity characterized by bilateral acute loss of iris pigment epithelium, iris transillumination, pigment dispersion in the anterior chamber and atonic pupilla. We report herein a 50-year-old female who presented with bilateral ocular pain, severe photophobia and red eyes. One month ago, a fly hit her eye, and she instantly complained of a discomfort and sensation of a foreign body in both eyes. She used a fumigation therapy, a traditional method for the treatment of ophthalmomyiasis. During follow-up examinations, intraocular pressures increased over 40 mmHg bilaterally despite maximal medical therapy, which necessitated trabeculectomy surgery with mitomycin. This is a typical BAIT case with no antecedent fluoroquinolone use or viral disease, but a fumigation therapy. There might be a possible relationship between BAIT and traditional fumigation therapy or this association might be coincidental, both of which need further evaluation.
双侧急性虹膜透照缺损（BAIT）是一种相对较新的临床病症，其特征为双侧虹膜色素上皮急性缺失、虹膜透照缺损、前房色素播散及瞳孔无张力。我们在此报告一名50岁女性，她出现双侧眼痛、严重畏光及眼红症状。一个月前，一只苍蝇击中她的眼睛，她随即抱怨双眼不适并有异物感。她采用了熏蒸疗法，这是一种治疗眼蝇蛆病的传统方法。在随访检查期间，尽管进行了最大程度的药物治疗，双侧眼压仍升至40 mmHg以上，这使得必须进行丝裂霉素辅助的小梁切除术。这是一例典型的BAIT病例，无前氟喹诺酮使用史或病毒性疾病，但有熏蒸疗法史。BAIT与传统熏蒸疗法之间可能存在关联，或者这种关联可能是巧合，两者均需进一步评估。
