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...

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Bibliographic Details
Published in:Indian journal of ophthalmology 2022-08, Vol.70 (8), p.3136-3139
Main Authors: Gaur, Sandhya, Sindhu, Narottama, Singh, Deependra, Bhattacharya, Mainak, Sharma, Ajay, Shinde, Dattatraya
Format: Article
Language:English
Subjects:
acute uveitis
Amoxicillin
Antibiotics
badi
Case Reports
Case studies
Causes of
Cephalosporins
Cornea
Coronaviruses
COVID-19
Endothelium
Glaucoma
Health aspects
Intraocular pressure
Iridocyclitis
Iris
Iris (Eye)
ocular hypertension
Patients
Physiological aspects
Pigmentation
Uveitis
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Summary: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.
ISSN:0301-4738
1998-3689
DOI:10.4103/ijo.IJO_75_22