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局部使用莫西沙星/地塞米松后双侧急性虹膜透照综合征,最初误诊为葡萄膜炎:病例报告

Bilateral Acute Iris Transillumination Syndrome after Topical Moxifloxacin/Dexamethasone Initially Misdiagnosed as Uveitis: Case Report.

作者信息

da Costa Daniella Socci, Gameiro Filho Aluisio Rosa, Barbosa Andrea Lima, Brasil Maria Vitória Moura

机构信息

Instituto Brasileiro de Oftalmologia (IBOL), Rio de Janeiro, Brazil.

Moorfields Eye Hospital, NHS Foundation Trust, London, UK.

出版信息

Case Rep Ophthalmol. 2023 Feb 3;14(1):39-46. doi: 10.1159/000529014. eCollection 2023 Jan-Dec.

DOI:10.1159/000529014
PMID:36747504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9898808/
Abstract

Bilateral acute iris transillumination (BAIT) syndrome is a rare condition of unknown etiology, characterized by acute onset of pigment dispersion in the anterior chamber, depigmentation of the iris, and heavy pigment deposition in the anterior chamber angle, with bilateral involvement in most cases. We present a case of a 46-year-old healthy woman, who developed BAIT in both eyes, following the use of topical moxifloxacin/dexamethasone for bilateral bacterial conjunctivitis, followed by a nonarteritic anterior ischemic optic neuropathy in the left eye.

摘要

双侧急性虹膜透照(BAIT)综合征是一种病因不明的罕见病症,其特征为前房内色素播散、虹膜色素脱失以及前房角大量色素沉着急性发作,多数情况下为双侧受累。我们报告一例46岁健康女性病例,该患者在使用局部用莫西沙星/地塞米松治疗双侧细菌性结膜炎后双眼出现BAIT,随后左眼发生非动脉炎性前部缺血性视神经病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856f/9898808/a125c6cfdea3/cop-2023-0014-0001-529014_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856f/9898808/df2dfaa55e03/cop-2023-0014-0001-529014_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856f/9898808/fe501030246d/cop-2023-0014-0001-529014_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856f/9898808/8c1caaf69d2c/cop-2023-0014-0001-529014_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856f/9898808/a125c6cfdea3/cop-2023-0014-0001-529014_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856f/9898808/df2dfaa55e03/cop-2023-0014-0001-529014_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856f/9898808/fe501030246d/cop-2023-0014-0001-529014_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856f/9898808/8c1caaf69d2c/cop-2023-0014-0001-529014_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/856f/9898808/a125c6cfdea3/cop-2023-0014-0001-529014_F4.jpg

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本文引用的文献

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Ocul Immunol Inflamm. 2022 Oct-Nov;30(7-8):1984-1987. doi: 10.1080/09273948.2021.1916042. Epub 2021 May 18.
2
Unilateral acute iris transillumination like syndrome following intracameral moxifloxacin injection.眼内注射莫西沙星后出现单侧急性虹膜光透射综合征。
Ocul Immunol Inflamm. 2022 Feb 17;30(2):318-319. doi: 10.1080/09273948.2020.1817495. Epub 2020 Sep 25.
3
Unilateral acute iris depigmentation and transillumination after glaucoma surgery with mitomycin application and intracameral moxifloxacin.
青光眼手术联合应用丝裂霉素和前房内注射莫西沙星后出现的单侧急性虹膜色素脱失和透照缺损
Am J Ophthalmol Case Rep. 2020 Feb 27;18:100639. doi: 10.1016/j.ajoc.2020.100639. eCollection 2020 Jun.
4
Bilateral acute iris transillumination (BAIT) syndrome: literature review.双侧急性虹膜透照(BAIT)综合征:文献综述
Clin Ophthalmol. 2019 Jun 5;13:935-943. doi: 10.2147/OPTH.S167449. eCollection 2019.
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Acute depigmentation of the iris: a retrospective analysis of 22 cases.虹膜急性退色:22 例回顾性分析。
Can J Ophthalmol. 2019 Feb;54(1):33-39. doi: 10.1016/j.jcjo.2018.03.020. Epub 2018 May 21.
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