Meena G Menon¹* and Singri Niharika Prasad²

¹Head-Department of Glaucoma, Sankara eye hospital, Bangalore, India
²Registrar, Department of Glaucoma, Sankara eye hospital, Bangalore, India

*Corresponding Author: Meena G Menon, Head-Department of Glaucoma, Sankara eye hospital, Bangalore, India.

Received: March 13, 2024; Published: April 08, 2024

Abstract

Bilateral Acute Depigmentation of the Iris (BADI) is defined as an acute, symmetric, bilateral depigmentation of the iris stroma without transillumination associated with pigment deposition in the anterior chamber and the iridocorneal angle. We hereby report a case of a 30-year-old female who had undergone photorefractive keratectomy in both eyes 45 days back and was on a tapering dose of a combination of moxifloxacin and dexamethasone as a postoperative regimen, presented with mild pain, and redness for 2 days. Examination revealed bilateral pigment dispersion on the corneal endothelium and the anterior chamber with loss of normal iris pattern with raised intraocular pressure. She was treated with a short course of steroids and antiglaucoma medications and the condition completely resolved. By understanding this condition and providing appropriate treatment, unnecessary tests and treatments can be avoided.

Keywords: Bilateral Acute Depigmentation of Iris; Moxifloxacin

References

1. Tuğal-Tutkun N and Altan Ç. “Bilateral Acute Depigmentation of Iris (BADI) and Bilateral Acute Iris Transillumination (BAIT)-An Update”. Turkish Journal of Ophthalmology (2022).
2. Escribano López P and González-Guijarro JJ. Bilateral Acute Depigmentation of the Iris: Findings in Anterior Segment Swept-Source Optical Coherence Tomography”. Ocular Immunology and Inflammation 8 (2019): 1288-1292.
3. Tugal-Tutkun I and Urgancioglu M. “Bilateral acute depigmentation of the Iris”. Graefe's Archive for Clinical and Experimental Ophthalmology 244 (2006): 742-746.
4. Tugal-Tutkun I., et al. “Bilateral acute depigmentation of the iris: report of 26 new cases and four-year follow-up of two patients”. Ophthalmology 116 (2009): 1552-1557.
5. Langevin S., et al. “A case of bilateral acute depigmentation of the Iris in one of two identical twins”. BMC Ophthalmology 20 (2020): 13.
6. Singh S., et al. “Bilateral acute depigmentation of the iris in a child following exposure to insecticide spray”. Indian Journal of Ophthalmology 68 (2020): 1191-1193.
7. Hinkle DM. “Re-assessing Evidence for Adverse Ocular Reactions Associated with Fluoroquinolones: Implications for Intracameral Use”. Ocular Immunology and Inflammation 30 (2022): 208-209.
8. Kreps EO., et al. “Is oral moxifloxacin associated with bilateral acute iris transillumination. Is oral moxifloxacin associated with bilateral acute iris transillumination?” Acta Ophthalmology 96 (2018): 547-548.
9. Yüksel M., et al. “Bilateral acute Iris transillumination after COVID-19 pneumonia”. European Journal of Ophthalmology (2022): 11206721221113428.

Citation

Citation: Meena G Menon and Singri Niharika Prasad. “Bilateral Acute Depigmentation of the Iris Following Refractive Surgery - An Untold Story".Acta Scientific Ophthalmology 7.5 (2024): 24-26.

Copyright

Copyright: © 2024 Meena G Menon and Singri Niharika Prasad. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.