Bilateral acute iris transillumination (BAIT) syndrome: literature review

Jean Marc Perone, Dimitri Chaussard, George HayekOphthalmology Department, Regional Hospital Center of Metz-Thionville, Mercy Hospital, Metz, FranceAbstract: The authors conducted a literature review about bilateral acute iris transillumination (BAIT) syndrome, a new and relatively unknown syndrome...

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Autores principales: Perone JM, Chaussard D, Hayek G
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:b23ebc4ec9e247acbc87cf026536e7da2021-12-02T05:22:02ZBilateral acute iris transillumination (BAIT) syndrome: literature review1177-5483https://doaj.org/article/b23ebc4ec9e247acbc87cf026536e7da2019-06-01T00:00:00Zhttps://www.dovepress.com/bilateral-acute-iris-transillumination-bait-syndrome-literature-review-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Jean Marc Perone, Dimitri Chaussard, George HayekOphthalmology Department, Regional Hospital Center of Metz-Thionville, Mercy Hospital, Metz, FranceAbstract: The authors conducted a literature review about bilateral acute iris transillumination (BAIT) syndrome, a new and relatively unknown syndrome that should be described and made known to the greatest number to avoid potential diagnostic and therapeutic errors. The first cases date back only to 2004 and a total of 79 cases have been published to date, mainly in Europe and especially in Turkey and Belgium. It mainly affects young women between the ages of 30 and 50, and symptoms are often preceded by an upper airway infection. There is also a majority of cases where the onset of the syndrome follows oral intake of moxyfloxacin. The clinical signs are dominated by strong photophobia, secondary to a spectacular transillumination of the iris. Other classical symptoms are conjunctival infection, eye pain, blurred vision, temporary ocular hypertonia, fixed mid-dilated pupils, and pigment dispersion in the anterior chamber with pigmentary deposits in the trabecular meshwork in gonioscopy, symptoms that may be mistaken for uveitis. After a few weeks or months of evolution, persistent sequelae were pupillary atony and chronic and bilateral transillumination of the iris, leading to significant photophobia and sometimes persistent ocular hypertension. The BAIT syndrome is close to the bilateral acute depigmentation of the iris (BADI) syndrome, which is similar to BAIT but lacks associated transillumination. A few cases of patients with BAIT syndrome on one eye and BADI syndrome on the contralateral eye have been described, which confirms some form of link between the two clinical entities.Keywords: BAIT syndrome, BADI syndrome, iris transillumination, moxifloxacin, photophobia, trabeculum pigmentary depositPerone JMChaussard DHayek GDove Medical PressarticleBAIT syndromeBADI syndromeiris transilluminationiris depigmentationmoxifloxacinphotophobiatrabeculum pigmentary depositpupillary atonysemi mydriasisOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 935-943 (2019)
institution DOAJ
collection DOAJ
language EN
topic BAIT syndrome
BADI syndrome
iris transillumination
iris depigmentation
moxifloxacin
photophobia
trabeculum pigmentary deposit
pupillary atony
semi mydriasis
Ophthalmology
RE1-994
spellingShingle BAIT syndrome
BADI syndrome
iris transillumination
iris depigmentation
moxifloxacin
photophobia
trabeculum pigmentary deposit
pupillary atony
semi mydriasis
Ophthalmology
RE1-994
Perone JM
Chaussard D
Hayek G
Bilateral acute iris transillumination (BAIT) syndrome: literature review
description Jean Marc Perone, Dimitri Chaussard, George HayekOphthalmology Department, Regional Hospital Center of Metz-Thionville, Mercy Hospital, Metz, FranceAbstract: The authors conducted a literature review about bilateral acute iris transillumination (BAIT) syndrome, a new and relatively unknown syndrome that should be described and made known to the greatest number to avoid potential diagnostic and therapeutic errors. The first cases date back only to 2004 and a total of 79 cases have been published to date, mainly in Europe and especially in Turkey and Belgium. It mainly affects young women between the ages of 30 and 50, and symptoms are often preceded by an upper airway infection. There is also a majority of cases where the onset of the syndrome follows oral intake of moxyfloxacin. The clinical signs are dominated by strong photophobia, secondary to a spectacular transillumination of the iris. Other classical symptoms are conjunctival infection, eye pain, blurred vision, temporary ocular hypertonia, fixed mid-dilated pupils, and pigment dispersion in the anterior chamber with pigmentary deposits in the trabecular meshwork in gonioscopy, symptoms that may be mistaken for uveitis. After a few weeks or months of evolution, persistent sequelae were pupillary atony and chronic and bilateral transillumination of the iris, leading to significant photophobia and sometimes persistent ocular hypertension. The BAIT syndrome is close to the bilateral acute depigmentation of the iris (BADI) syndrome, which is similar to BAIT but lacks associated transillumination. A few cases of patients with BAIT syndrome on one eye and BADI syndrome on the contralateral eye have been described, which confirms some form of link between the two clinical entities.Keywords: BAIT syndrome, BADI syndrome, iris transillumination, moxifloxacin, photophobia, trabeculum pigmentary deposit
format article
author Perone JM
Chaussard D
Hayek G
author_facet Perone JM
Chaussard D
Hayek G
author_sort Perone JM
title Bilateral acute iris transillumination (BAIT) syndrome: literature review
title_short Bilateral acute iris transillumination (BAIT) syndrome: literature review
title_full Bilateral acute iris transillumination (BAIT) syndrome: literature review
title_fullStr Bilateral acute iris transillumination (BAIT) syndrome: literature review
title_full_unstemmed Bilateral acute iris transillumination (BAIT) syndrome: literature review
title_sort bilateral acute iris transillumination (bait) syndrome: literature review
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/b23ebc4ec9e247acbc87cf026536e7da
work_keys_str_mv AT peronejm bilateralacuteiristransilluminationbaitsyndromeliteraturereview
AT chaussardd bilateralacuteiristransilluminationbaitsyndromeliteraturereview
AT hayekg bilateralacuteiristransilluminationbaitsyndromeliteraturereview
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