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Implication of photic sneeze reflex in ophthalmology
Pooja A Shetty1, Shruti Bhat2, Vikram Jain3
1Cataract and Anterior Segment, Prasad Netralaya, Mangalore, Karnataka, India.
Indian Journal of Ophthalmology
|June 16, 2023
Summary
Photic sneeze reflex (PSR) causes uncontrollable sneezing when exposed to bright light. This video discusses PSR
Area of Science:
- Ophthalmology
- Genetics
- Neurology
Background:
- Photic sneeze reflex (PSR), also known as autosomal dominant compelling helioophthalmic outburst, is a rare genetic condition.
- Characterized by uncontrollable sneezing triggered by bright light exposure.
- The precise physiological mechanism remains poorly understood, with several hypotheses proposed.
Observation:
- Ophthalmic examinations, including slit lamp, indirect ophthalmoscopy, and surgical microscopy, can provoke sneezing in PSR patients.
- A case of a 74-year-old male with vision loss in the left eye is presented.
- The patient exhibited repeated sneezing during routine ophthalmic examinations.
Findings:
- The patient was diagnosed with photic sneeze reflex (PSR).
- He had pseudophakic bullous keratopathy in the right eye and senile cataract in the left eye.
- Cataract surgery was successfully performed uneventfully, with specific considerations for his one-eyed status and PSR.
Implications:
- Highlights the challenges posed by PSR in ophthalmic practice.
- Underscores the importance of recognizing and managing PSR in patients undergoing eye surgery.
- Provides insights into managing ophthalmic conditions in patients with photic sneeze reflex.
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