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Abstract #108164 Published in IGR 23-4
Bilateral Acute Iris Transillumination and Elevated Intraocular Pressure After COVID-19 Infection
Gulmez Sevim D; Sener H; Sener H; Evereklioglu CJournal of Glaucoma 2023; 32: e56-e59
Bilateral acute iris transillumination (BAIT) is characterized by abundant pigment discharge into the anterior chamber. Atonic pupil and severe intraocular pressure (IOP) elevations may be observed. Generally, there is a viral upper respiratory tract infection or systemic fluoroquinolone usage before BAIT. Two cases with a recent history of coronavirus disease 2019 (COVID-19) presented with a complaint of decreased vision. Elevated IOP and iris transillumination defects were observed in both patients. Both patients were diagnosed with BAIT. Although elevated IOP was controlled with medical treatment in 1 patient, glaucoma surgery was performed in the other patient because it could not be controlled with medical treatment. As both patients received no systemic treatment for COVID-19, the pressure rise seems to be directly related to the viral infection alone through the inflammatory process. Atypical ocular presentations of COVID-19 should be kept in mind as it can have serious consequences.
Department of Ophthalmology, Erciyes University, Kayseri, Turkey.
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