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Wey S, Flamendorf J, Sinha S, Lee D. Surgical Management of Glaucoma Secondary to Bilateral Acute Iris Transillumination: A Role for Gonioscopy-assisted Transluminal Trabeculotomy. JOVR [Internet]. 2021Jan.20 [cited 2024May5];16(1):122–126. Available from: https://knepublishing.com/index.php/JOVR/article/view/8258

https://doi.org/10.18502/jovr.v16i1.8258

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authors

  • Stephanie Wey

    Stephanie Wey

    Department of Ophthalmology, University of Cincinnati, OH, USA
  • Jason Flamendorf

    Jason Flamendorf

    Glaucoma Service, Wills Eye Hospital, PA, USA
  • Sapna Sinha

    Sapna Sinha

    Glaucoma Service, Wills Eye Hospital, PA, USA
  • Daniel Lee

    Daniel Lee

    Glaucoma Service, Wills Eye Hospital, PA, USA

Published Date

  • Jan 20, 2021
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Surgical Management of Glaucoma Secondary to Bilateral Acute Iris Transillumination: A Role for Gonioscopy-assisted Transluminal Trabeculotomy

Journal of Ophthalmic and Vision Research (JOVR) / January–March 2021, Volume 16, Issue 1 / Pages 122–126

Abstract

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.

Keywords:

Bilateral Acute Iris Transillumination, Fluoroquinolone, Glaucoma, Ocular Hypertension, Gonioscopy-assisted Transluminal Trabeculotomy

References
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