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CASE REPORT
Year : 2023  |  Volume : 3  |  Issue : 1  |  Page : 26-29

Bilateral acute iris transillumination after photorefractive keratectomy: A case report


1 Cornea and Refractive Services, Dhami Eye Care Hospital, Ludhiana, Punjab, India
2 Cataract and Vitreo-Retina Sevices, Dhami Eye Care Hospital, Ludhiana, Punjab, India
3 Medical Director, Dhami Eye Care Hospital, Ludhiana, Punjab, India
4 Vitreo-Retina and Uvea Services, Dhami Eye Care Hospital, Ludhiana, Punjab, India
5 Retina, Vitreous and Uvea Services, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

Correspondence Address:
Gobinder Singh Dhami
Cornea and Refractive Services, Dhami Eye Care Hospital, 82-B Kitchlu Nagar, Ludhiana - 141 001, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1882_22

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A 25-year-old male presented with ciliary congestion, pigmented cells in the anterior chamber, and raised intraocular pressure (IOP) in both eyes (left > right) two weeks after photorefractive keratectomy (PRK). The patient was treated for acute anterior uveitis with topical steroids, moxifloxacin, cycloplegic, and antiglaucoma eye drops. Systemic workup was unremarkable except elevated IgG CMV levels. Despite treatment, inflammation increased and IOP became treatment-refractory (peaked to 50 mmHg), with florid pigment deposition on lens capsule, diffuse iris transillumination defects, and dilated distorted pupils. Suspecting bilateral acute iris transillumination (BAIT), topical moxifloxacin was withdrawn with gradual resolution of disease over four months.


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