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Posner-Schlossman syndrome: a case report.
1Clarendon Vision Center, Phoenix, Arizona, USA.
Summary
Glaucomatocyclitic crisis, or Posner-Schlossman syndrome, presents as recurrent uveitis with high intraocular pressure. While the cause remains unclear, prompt treatment of flare-ups is key.
Area of Science:
- Ophthalmology
- Uveitis
- Glaucoma
Background:
- Glaucomatocyclitic crisis (Posner-Schlossman syndrome) affects individuals aged 20-50.
- Characterized by recurrent anterior uveitis and disproportionate intraocular pressure (IOP) spikes in one eye.
- Etiology is unclear, with potential links to primary open-angle glaucoma (POAG).
Observation:
- A case report details a 41-year-old Hispanic woman with Posner-Schlossman syndrome.
- Symptoms included mild pain, photophobia, and blurred vision with anterior chamber reaction and IOP spikes.
- The patient developed equivocal signs of POAG despite successful flare-up treatment.
Findings:
- Treatment involved topical anti-inflammatory and IOP-lowering agents for acute episodes.
- Prophylactic treatment for POAG with a beta-blocker was initiated.
- No specific etiologic factor was identified in this patient.
Implications:
- Posner-Schlossman syndrome is a rare but clinically identifiable uveitic condition.
- Differential diagnosis can be extensive, but clinical presentation aids identification.
- Standard treatment combines uveitic therapy (excluding cycloplegics) with IOP-lowering drops.