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Year : 2021  |  Volume : 1  |  Issue : 3  |  Page : 520-521

Bilateral acute iris transillumination in a young woman

Aravind Eye Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Prasanna Venkataraman
Consultant, Glaucoma Services, Aravind Eye Hospital, Poonamallee High Road, Noombal, Chennai - 600 077, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_2668_20

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Bilateral acute depigmentation of iris and bilateral acute iris transillumination are entities characterized by acute onset of pigment dispersion in the anterior chamber, discoloration of the iris stroma, pigment deposition in the anterior chamber angle, and elevation of intraocular pressure. A 39-year-old woman presented with acute onset pain and redness in both eyes. On examination, both eyes showed clear cornea, deep anterior chamber, and profound pigment dispersion and raised intraocular pressure with no signs of anterior uveitis. Ocular hypertension was refractory to medical therapy necessitating. Prompt differentiation of this condition from uveitis is crucial to avoid prolonged unwarranted steroid therapy.

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