Bilateral Acute Depigmentation of Iris (BADI) and Bilateral Acute Iris Transillumination (BAIT)-An Update
İlknur Tuğal-Tutkun, Çiğdem Altan
Abstract
Clinical Features of BADI BADI was first described in 2006 by Tugal-Tutkun and Urgancioglu 1 in a series of 5 cases from Turkey. They described an acute episode of pigment discharge in the anterior chamber from the iris stroma, bilateral symmetrical diffuse or geographical areas of depigmentation and discoloration of the iris stroma, Krukenberg's spindles, and pigment deposition in the trabecular meshwork. In their subsequent series, Tugal-Tutkun et al. Following these early publications, many cases have been reported from other countries. ADI affects predominantly young females. It presents as a sudden-onset redness, ocular pain, tearing, and photophobia in both eyes simultaneously or within a few days of each other. Severe photophobia is the most prominent symptom. The patients usually maintain normal visual acuity. atients with BADI present with severe diffuse episcleral injection, more pronounced than ciliary injection. They do not have signs of intraocular inflammation, but they present with circulating pigment in the anterior chamber, which may