Bilateral Posner Schlossman Syndrome with Underlying Open Angle Glaucoma

Purpose: To describe a case of Posner Schlossman Syndrome (PSS) with bilateral presentation with underlying open angle glaucoma. Case Report: A young patient presented with blurring of vision in the right eye. On examination, he had mild anterior chamber reaction and open angles on gonioscopy. IOP w...

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Main Authors: Madhu Bhoot, Suneeta Dubey, Saptarshi Mukherjee
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.7869/djo.420
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author Madhu Bhoot
Suneeta Dubey
Saptarshi Mukherjee
author_facet Madhu Bhoot
Suneeta Dubey
Saptarshi Mukherjee
author_sort Madhu Bhoot
collection DOAJ
description Purpose: To describe a case of Posner Schlossman Syndrome (PSS) with bilateral presentation with underlying open angle glaucoma. Case Report: A young patient presented with blurring of vision in the right eye. On examination, he had mild anterior chamber reaction and open angles on gonioscopy. IOP was 30mm Hg in the right eye and 11mm Hg in the left eye. He had recurrent episodes of IOP spikes in the right eye despite being on ocular hypotensives. Trabeculectomy was done in the right eye. Few months later, he had similar episodes of elevation of IOP with inflammation in the left eye also for which he underwent trabeculectomy. Following trabeculectomy, his IOP was well controlled in both the eyes. Conclusion: PSS should be considered in any patient with increased IOP without any other signs because the inflammation may be so mild as to be overlooked or it may follow the acute rise in IOP by some days. Though PSS is unilateral, a bilateral presentation should also be kept in mind. Follow up of the patients should be at regular intervals and they need to have their visual fields and optic discs frequently monitored because of the recurrent nature and progression of the optic disc damage.
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spelling doaj-art-a9302fd7bc294dd7a77ca4db64e6fe0b2025-08-20T01:48:53ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842019-01-01293545810.7869/djo.420Bilateral Posner Schlossman Syndrome with Underlying Open Angle GlaucomaMadhu BhootSuneeta DubeySaptarshi MukherjeePurpose: To describe a case of Posner Schlossman Syndrome (PSS) with bilateral presentation with underlying open angle glaucoma. Case Report: A young patient presented with blurring of vision in the right eye. On examination, he had mild anterior chamber reaction and open angles on gonioscopy. IOP was 30mm Hg in the right eye and 11mm Hg in the left eye. He had recurrent episodes of IOP spikes in the right eye despite being on ocular hypotensives. Trabeculectomy was done in the right eye. Few months later, he had similar episodes of elevation of IOP with inflammation in the left eye also for which he underwent trabeculectomy. Following trabeculectomy, his IOP was well controlled in both the eyes. Conclusion: PSS should be considered in any patient with increased IOP without any other signs because the inflammation may be so mild as to be overlooked or it may follow the acute rise in IOP by some days. Though PSS is unilateral, a bilateral presentation should also be kept in mind. Follow up of the patients should be at regular intervals and they need to have their visual fields and optic discs frequently monitored because of the recurrent nature and progression of the optic disc damage.https://journals.lww.com/10.7869/djo.420posner schlossmanbilateralopen angleglaucomainflammation
spellingShingle Madhu Bhoot
Suneeta Dubey
Saptarshi Mukherjee
Bilateral Posner Schlossman Syndrome with Underlying Open Angle Glaucoma
Delhi Journal of Ophthalmology
posner schlossman
bilateral
open angle
glaucoma
inflammation
title Bilateral Posner Schlossman Syndrome with Underlying Open Angle Glaucoma
title_full Bilateral Posner Schlossman Syndrome with Underlying Open Angle Glaucoma
title_fullStr Bilateral Posner Schlossman Syndrome with Underlying Open Angle Glaucoma
title_full_unstemmed Bilateral Posner Schlossman Syndrome with Underlying Open Angle Glaucoma
title_short Bilateral Posner Schlossman Syndrome with Underlying Open Angle Glaucoma
title_sort bilateral posner schlossman syndrome with underlying open angle glaucoma
topic posner schlossman
bilateral
open angle
glaucoma
inflammation
url https://journals.lww.com/10.7869/djo.420
work_keys_str_mv AT madhubhoot bilateralposnerschlossmansyndromewithunderlyingopenangleglaucoma
AT suneetadubey bilateralposnerschlossmansyndromewithunderlyingopenangleglaucoma
AT saptarshimukherjee bilateralposnerschlossmansyndromewithunderlyingopenangleglaucoma