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Posner-Schlossman Syndrome: A Cause of Unilateral Ocular Hypertension: Case Report

Burak Ulas and Altan Atakan Ozcan

A 40 y old immunocompetent male patient admitted, with the complaints of blurry vision, photophobia, red eye, and severe pain in the left eye for the last 2 days. Examination revealed mild anterior chamber reaction, corneal edema, appearance of keratic precipitates and a very high intraocular pressure (52 mmHg) with an unresponsive, semi-dilated pupil in the same eye. Gonioscopy revealed open angles in both eyes. He was treated with topical steroids and topical pressure-lowering agents with oral acetazolamide. The patient was also evaluated for systemic causes of red eye. Investigations carried out included routine blood tests and ESR, the results of which were all within normal limits. In the following 24 month period, the patient had two further episodes of unilateral IOP spikes associated with cyclitis.

This is an interesting and a rare uveitic condition. Although the list of differential diagnoses is long, the condition is relatively quickly identifiable by the presence of remarkable signs and symptoms. Medical and surgical treatments are indicated to reduce inflammation and to prevent long-term glaucomatous optic nerve damage related to the high intraocular pressure. Posner-Schlossman Syndrome does not always follow a completely uncomplicated course. Repeated episodes of elevated intraocular pressure can cause long-term sequelae such as glaucoma.