Published date: Jan 20 2021

Journal Title: Journal of Ophthalmic and Vision Research

Issue title: January–March 2021, Volume 16, Issue 1

Pages: 122–126

DOI: 10.18502/jovr.v16i1.8258

Stephanie Weystephaniewey24@gmail.comDepartment of Ophthalmology, University of Cincinnati, OH, USA

Jason FlamendorfGlaucoma Service, Wills Eye Hospital, PA, USA

Sapna SinhaGlaucoma Service, Wills Eye Hospital, PA, USA

Daniel LeeGlaucoma Service, Wills Eye Hospital, PA, USA

Purpose: We report a case of bilateral acute iris transillumination (BAIT) in a young woman associated with ocular hypertension which eventually progressed to glaucoma that was treated with gonioscopy-assisted transluminal trabeculectomy (GATT).

Case Report: A 37-year-old otherwise healthy female presented with intermittently red and inflamed eyes and blurred vision. She was treated with oral moxifloxacin months prior to presentation. Iris transillumination defects, a pigmented anterior chamber reaction, the absence of keratic precipitates, and a history of upper respiratory infection treated with an oral fluoroquinolone prompted the diagnosis of BAIT. Intraocular pressure (IOP) remained uncontrolled on multiple glaucoma medications. Following the development of new visual field defects, indicating progression to glaucoma, GATT with cataract extraction was performed.

Conclusion: Although surgical intervention is rare with BAIT, our case demonstrates that GATT may be used effectively in those patients needing better IOP control before considering incisional glaucoma surgery.

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