PMC9898808_01
Slit-lamp photograph of the right (a) and left (b) eyes showing intense pigment dispersion in the anterior chamber, a typical picture of BAIT syndrome. Iris transillumination and pupil deformation with associated mydriasis of the right (c) and left (d) eyes. The photographs were taken without pharmacological dilatation of the pupils.
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PMC9898808_01_cop-2023-0014-0001-529014_f1.jpg
F1
Slit-lamp revealed severe pigment dispersion in the anterior chamber, iris transillumination defect, and mydriatic atonic pupils OU (Fig. 1).
Gonioscopy of the right (a) and left (b) angles showing heavy trabecular meshwork pigmentation.
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F2
Gonioscopy revealed wide-open angles (Shaffer IV), heavy pigment deposition in the trabecular meshwork, and no appearance of posterior iris bowing and/or peripheral anterior synechiae in OU (Fig. 2).
Fundus photographs of the right (a) and left (b) eyes showing optic disc edema (white arrow) with peripapillary retinal haemorrhage (black arrow) in the left eye.
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F3
In the OS, an edematous optic nerve, associated with peripapillary retinal hemorrhage, suggestive of nonarteritic optic neuropathy (NAION) was noticed (Fig. 3), and confirmed by optical coherence tomography, and high-frequency B-scan-ultrasonography.
Optic nerve OCT of both eyes, demonstrating loss of the retina nerve fiber layer, especially in the left eye, as it can be noticed in the graphs on this report.
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PMC9898808_01_cop-2023-0014-0001-529014_f4.jpg
F4
Pigment dispersion in the anterior chamber resolved in OU, and optical coherence tomography of retinal nerve fiber layer showed a localized temporal inferior defect in the OD and a diffuse loss in the OS (Fig. 4).