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Bilateral acute iris transillumination induced by moxifloxacin
Síndrome de transiluminación aguda del iris por moxifloxacino
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"aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de transiluminación aguda del iris por moxifloxacino" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 496 "Ancho" => 750 "Tamanyo" => 53618 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 32-year-old female patient, referred for evaluation of bilateral mydriasis nonreactive to light, diagnosed with probable bilateral tonic pupil.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient's history included atypical pneumonia, treated with oral moxifloxacin 400<span class="elsevierStyleHsp" style=""></span>mg/day for a week, with subsequent admission to the ICU for multilobar pneumonia and acute respiratory distress syndrome, requiring oxygen therapy and empirical treatment with ceftriaxone, azithromycin. In the absence of positive cultures, corticosteroids, and Tamiflu® were added. All other serologies were negative except for influenza B, which was slightly positive.</p><p id="par0015" class="elsevierStylePara elsevierViewall">On discharge, the patient presented with nonreactive bilateral mydriasis, conjunctival injection, and was initially treated with topical steroids for suspected bilateral iridocyclitis.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The examination showed a visual acuity of 1.0 in each eye with myopic correction. Pupils in 7<span class="elsevierStyleHsp" style=""></span>mm bilateral fixed mydriasis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A), non-reactive to light or accommodative stimuli. There was also no response to pilocarpine diluted to 0.125%, nor to a concentration higher than 2%.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">The slit lamp revealed bilateral iris transillumination (arrow), with pigment in the endothelium (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). The intraocular pressure was normal.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Acute bilateral iris transillumination syndrome was diagnosed in the context of treatment with moxifloxacin.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Sánchez-Dalmau B, Eixarch A, Sánchez-Vela L, Camós-Carreras A. Síndrome de transiluminación aguda del iris por moxifloxacino. 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