Bilateral acute iris transillumination following a fumigation therapy: a village-based traditional method for the treatment of ophthalmomyiasis. (28th March 2014)

• Record Type: Journal Article
• Authors: Gonul, Saban; Bozkurt, Banu; Okudan, Suleyman; Tugal-Tutkun, Ilknur
• Is Part Of: Cutaneous and ocular toxicology. Volume 34:Number 1(2015:Mar.)
• Page Start: 80
• Page End: 83
• Publication Date: 2014-03-28
• Subjects: Atonic papilla -- BAIT -- fumigation therapy -- iris transillumination -- mydriasis -- pigment dispersion; Dermatotoxicology -- Periodicals; Ocular toxicology -- Periodicals; Ocular pharmacology -- Periodicals; Dermatopharmacology -- Periodicals; Toxicology -- Periodicals; 615.9
• DOI: 10.3109/15569527.2014.886589
• Languages: English
• ISSNs: 1556-9527

Abstract

Abstract: 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.