Department of Eye Clinic, University of Health Science, Beyoglu Eye Training and Research Hospital, Istanbul, Turkey.
Indian J Ophthalmol. 2018 Jun;66(6):869-871. doi: 10.4103/ijo.IJO_1134_17.
A 47-year-old male presented with bilateral 4 + circulating pigment in the anterior chamber, diffuse iris transillumination, dilated pupils unresponsive to light, and high intraocular pressure (IOP) levels in both eyes. Visual acuity and IOP improved bilaterally with topical steroid and antiglaucomatous therapy. In the 10 month, bilateral cystoid macular edema (CME) was developed and resolved after subtenon triamcinolone injections. CME recurred after cataract surgery in the right eye which was treated with intravitreal dexamethasone implant injection. CME was recurred in the left eye and treated with intravitreal dexamethasone implant at the same setting with cataract surgery. CME can be seen in the course of bilateral acute iris transillumination (BAIT). This is the first BAIT case presenting with bilateral CME.
一位 47 岁男性因双眼前房出现 4+循环色素、弥漫性虹膜光透射、瞳孔散大对光无反应和双眼高眼压而就诊。局部皮质类固醇和抗青光眼治疗后，双眼视力和眼压均有所改善。在 10 个月时，出现双侧囊样黄斑水肿（CME），经曲安奈德前Tenon 注射后消退。右眼白内障手术后 CME 复发，给予玻璃体内地塞米松植入物注射治疗。左眼 CME 复发，在白内障手术的相同条件下给予玻璃体内地塞米松植入物治疗。双侧急性虹膜光透射（BAIT）可出现 CME。本例为首例 BAIT 伴双侧 CME 的病例。
