COVID-19-related bilateral acute de-pigmentation of iris with ocular hypertension

A 43-year-old male patient presented with acute blurring of vision in both eyes associated with photophobia, redness, and mild pain following coronavirus disease 2019 (Covid-19) infection. Clinical examination revealed extensive pigment dusting in the corneal endothelium and the trabecular meshwork with de-pigmentation bands in the iris periphery. The patient was managed empirically with topical anti-glaucoma medications for high intra-ocular pressure. The patient was prescribed systemic antibiotics including cephalosporins and amoxicillin for respiratory symptoms. A rare condition called bilateral acute de-pigmentation of iris (BADI) was suspected after ruling out common entities, for example, viral kerato-uveitis, pigment dispersion syndrome, and Fuchs iridocyclitis. Covid-19 infection and systemic antibiotics including cephalosporins have shown to cause BADI in the literature. The patient responded well with good outcome.

Keywords

Acute uveitis, BADI, Covid-19, ocular hypertension

Citation

Gaur Sandhya, Sindhu Narottama, Singh Deependra Vikram, Bhattacharya Mainak, Sharma Ajay, Shinde Dattatraya. COVID-19-related bilateral acute de-pigmentation of iris with ocular hypertension. Indian Journal of Ophthalmology. 2022 Aug; 70(8): 3136-3139

URI

https://imsear.searo.who.int/handle/123456789/224557

Collections

Indian Journal of Ophthalmology

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