Wey Stephanie, Flamendorf Jason, Sinha Sapna, Lee Daniel
Department of Ophthalmology, University of Cincinnati, OH, USA.
Glaucoma Service, Wills Eye Hospital, PA, USA.
J Ophthalmic Vis Res. 2021 Jan 20;16(1):122-126. doi: 10.18502/jovr.v16i1.8258. eCollection 2021 Jan-Mar.
We report a case of bilateral acute iris transillumination (BAIT) in a young woman associated with ocular hypertension which eventually progressed to glaucoma that was treated with gonioscopy-assisted transluminal trabeculectomy (GATT).
A 37-year-old otherwise healthy female presented with intermittently red and inflamed eyes and blurred vision. She was treated with oral moxifloxacin months prior to presentation. Iris transillumination defects, a pigmented anterior chamber reaction, the absence of keratic precipitates, and a history of upper respiratory infection treated with an oral fluoroquinolone prompted the diagnosis of BAIT. Intraocular pressure (IOP) remained uncontrolled on multiple glaucoma medications. Following the development of new visual field defects, indicating progression to glaucoma, GATT with cataract extraction was performed.
Although surgical intervention is rare with BAIT, our case demonstrates that GATT may be used effectively in those patients needing better IOP control before considering incisional glaucoma surgery.
我们报告一例年轻女性双侧急性虹膜透照（BAIT）病例，该病例伴有眼压升高，最终发展为青光眼，并接受了房角镜辅助经腔小梁切除术（GATT）治疗。
一名37岁的健康女性出现眼睛间歇性发红、发炎和视力模糊症状。在就诊前数月，她接受了口服莫西沙星治疗。虹膜透照缺损、色素性前房反应、无角膜后沉着物以及曾口服氟喹诺酮治疗上呼吸道感染的病史提示BAIT的诊断。使用多种青光眼药物治疗后眼压仍未得到控制。在出现新的视野缺损，提示病情进展为青光眼后，进行了GATT联合白内障摘除术。
虽然BAIT很少需要手术干预，但我们的病例表明，在考虑切开性青光眼手术之前，GATT可有效用于那些需要更好地控制眼压的患者。
