BACKGROUND: The Posner Schlossman syndrome (glaucomatocyclitis crisis) is a condition with self limited recurrent episodes of markedly elevated intraocular pressure (IOP) and a mild anterior chamber inflammation, usually with some injection and pain. A significant number of patients with Posner Schlossman syndrome develop glaucoma over time.
CASE REPORT(S). This poster illustrates a case of 29 year old asian female with Posner Schlossman syndrome and a history of poliomyelitis, describes its possible etiologies, presentation, differential diagnosis and management and emphasizes the atypical aspects of the case. In addition, the author explores the possible linkage between poliomyelitis and Posner Schlossman syndrome.
The patient has experienced recurrent episodes of unilateral increase in intraocular pressure with mild anterior uveitis OS and concurrent symptom of dull-boring left eye ache since 1993. The frequency of the recurrences and the intensity of the anterior chamber reaction have been increasingly recently.
The ophthalmic findings of the most recent of her 8 episodes include VA 20/20 OU, longstanding keratic precipitates OS and fine newly formed keratic precipitates along the inferior half of the corneal endothelium, +1 cells and flare of the anterior chamber and IOP of 18mmHg OD and 45mmHg OS. Elevated IOP was controlled by an in-office regimen of antiglaucoma medications at the time of the presentation. The patient was then instructed to instill topical antiglaucoma medication and topical steroid for the next three days.
CONCLUSIONS. Prompt control of the markedly elevated intraocular pressure and inflammation and keen observation of the optic disc appearance and visual field are crucial and recurrences are likely. Optometrists should be familiar with the typical and atypical aspects to optimally manage and educate patients with Posner Schlossman syndrome.