title: Bilateral acute iris transillumination following a fumigation therapy: a village-based traditional method for the treatment of ophthalmomyiasis.
abstract: Bilateral acute iris transillumination (BAIT) is a relatively new clinical entity characterized by bilateral acute loss of iris pigment epithelium, iris transillumination, pigment dispersion in the anterior chamber and atonic pupilla. We report herein a 50-year-old female who presented with bilateral ocular pain, severe photophobia and red eyes. One month ago, a fly hit her eye, and she instantly complained of a discomfort and sensation of a foreign body in both eyes. She used a fumigation therapy, a traditional method for the treatment of ophthalmomyiasis. During follow-up examinations, intraocular pressures increased over 40 mmHg bilaterally despite maximal medical therapy, which necessitated trabeculectomy surgery with mitomycin. This is a typical BAIT case with no antecedent fluoroquinolone use or viral disease, but a fumigation therapy. There might be a possible relationship between BAIT and traditional fumigation therapy or this association might be coincidental, both of which need further evaluation.
authors.affiliation: Department of Ophthalmology, Faculty of Medicine, Selcuk University , Konya , Turkey and.
authors.forename: Saban
authors.initials: S
authors.lastname: Gonul
authors.forename: Banu
authors.initials: B
authors.lastname: Bozkurt
authors.forename: Suleyman
authors.initials: S
authors.lastname: Okudan
authors.forename: Ilknur
authors.initials: I
authors.lastname: Tugal-Tutkun
mesh_terms: D028142:Berberis; D005260:Female; D005651:Fumigation; D006801:Humans; D007499:Iris Diseases / Q000175:diagnosis* / Q000209:etiology*; D008519:Medicine, Traditional; D008875:Middle Aged; D012639:Seeds; D012906:Smoke
chemical_list: D012906:Smoke
keywords: Atonic papilla; BAIT; fumigation therapy; iris transillumination; mydriasis; pigment dispersion