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Bilateral acute depigmentation of the iris first misdiagnosed as acute iridocyclitis

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Abstract

Acute depigmentation of the iris is a new condition characterized by pigment dispersion in the anterior chamber, depigmentation of the iris stroma, and pigment deposition in the anterior chamber angle. A 33-year-old woman using a topical corticosteroid every 2 h for the treatment of acute iridocyclitis was referred to our clinic to seek another opinion because her symptoms had not improved. An ocular evaluation of the patient revealed pigment precipitates on the corneal endothelium, pigment dispersion in the anterior chamber, symmetrical diffuse depigmentation, granularity of the iris stroma, and pigment deposition in the trabecular meshwork. These findings suggested a diagnosis of bilateral acute depigmentation of the iris (BADI) instead of iridocyclitis. Clinicians should be careful in the differential diagnosis of iris depigmentation from iridocyclitis to avoid the unnecessary use of high-dose topical corticosteroids.

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References

  1. Tugal-Tutkun I, Urgancioglu M (2006) Bilateral acute depigmentation of the iris. Graefes Arch Clin Exp Ophthalmol 244:742–746

    Article  PubMed  Google Scholar 

  2. Tugal-Tutkun I, Araz B, Taskapili M et al (2009) Bilateral acute depigmentation of the iris: report of 26 new cases and four-year follow-up of two patients. Ophthalmology 116:1552–1557

    Article  PubMed  Google Scholar 

  3. Carnahan MC, Goldstein DA (2000) Ocular complications of topical, peri-ocular, and systemic corticosteroids. Curr Opin Ophthalmol 11:478–483

    Article  PubMed  CAS  Google Scholar 

  4. Liesegang TJ (1999) Classification of herpes simplex virus keratitis and anterior uveitis. Cornea 18:511–531

    Article  PubMed  CAS  Google Scholar 

  5. Gillies WE, Brooks AM (2001) Clinical features at presentation of anterior segment pigment dispersion syndrome. Clin Exp Ophthalmol 29:125–127

    Article  CAS  Google Scholar 

  6. Jones NP (1991) Fuchs’ heterochromic uveitis: a reappraisal of the clinical spectrum. Eye 5:649–661

    Article  PubMed  Google Scholar 

  7. Walton KA, Buono LM (2003) Horner syndrome. Curr Opin Ophthalmol 14:357–363

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Ophthalmology, Training and Research Hospital, Kayseri, Turkey

    Altan Goktas

  2. Eye Clinic, Tekden Hospital, Kayseri, Turkey

    Sertan Goktas

Authors
  1. Altan Goktas
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  2. Sertan Goktas
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Correspondence to Altan Goktas.

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Goktas, A., Goktas, S. Bilateral acute depigmentation of the iris first misdiagnosed as acute iridocyclitis. Int Ophthalmol 31, 337–339 (2011). https://doi.org/10.1007/s10792-011-9452-x

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  • DOI: https://doi.org/10.1007/s10792-011-9452-x

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