Glaucomatocyclitic crisis ( Posner- schlozman syndrome )
✅ What u have to know about Glaucomatocyclitic crisis
✍️ rare( I have faced 3 cases in 10 yrs )
✍️ unilateral
✍️ recurrent
✍️ middle age
✍️ very high IOP in relatively quite open angle eye ( asymtomatic just eye discomfort or very mild injection)
✍️ Herps viral trabeculitis is reported pathophysiogically ( herps simplex, CMV)
✍️ Topical steroids is mandatory ttt with dramatic response (main treatment)
✍️ short term ocular antihypertensive drugs during acute phase ( avoid PGs)
✍️ relatively benign disease with rarely reported glaucomatous optic neuropathy requiring TRAB
Fuch’s heterochromic Uveitis and Glaucomatocyclitic crisis.
✅ What is similar and What is different in Glaucomatocyclitic crisis!??
✅Glaucomatocyclitic crisis Similar in:
✍️ rarity
✍️ unilaterality
✍️ high IOP in quite open angle eye
✍️ middle age group
✍️ viral iridotrabeculocylitis is pathophysiologically reported
✅ What is different in Glaucomatocyclitic crisis ..!??
✍️ rubella virus is accused in FHUS ( unlike GCC, herps and CMV)
✍️ Heterochromia iridis ( best seen in daylight)
• In FUHS is uniform unlike GCC patchy
• regarding heterochromia: in dark iridis patient the lighter color is the diseased eye and the opposite is true )
✍️ satellite diffusely scattered kps all over the endothelium
✍️ iris atrophy moth-eaten unlike GCC patchy
✍️ angle twinglike NV( may case amsler hage during phacoemulsication due to suddenly dropped AC Pressure on entry )
✍️ usually associated with PSC cataract
✍️ although its inflammatory, steroids not necessary ( unlike GCC)
✍️ long term anti glaucoma medication or even more aggressive surgery is frequently reported ( unlike GCC)
Glaucomatocyclitic crisis PowerPoint presentations :
Posner-Schlossman Syndrome Glaucomatocyclitic Crisis John R.
- 1. 1 4 April 2011 Posner-Schlossman Syndrome Glaucomatocyclitic Crisis John R. Martinelli, OD, FAAO St. Georgeʼs University School of Medicine Abstract Posner-Schlossman syndrome (PSS) or Glaucomatocyclitic Crisis is an infrequent and typically unilateral, recurrent, inflammatory, open-angle ocular hypertensive disorder. The condition normally affects individuals between 20 – 50 years of age and has no racial or sexual predilection. PSS is marked by an acute marked elevation of intraocular pressure (IOP) associated with mild uveal inflammation. The uveitis and symptoms at the initial presentation may be negligible and care must be taken when considering differential diagnoses. Medical treatment is indicated to control inflammation and lower intraocular pressure thereby preventing secondary glaucomatous optic nerve damage and vision loss. Associated systemic conditions may be absent; however, generalized inflammatory and auto-immune etiologies should be investigated. Keywords: Glaucoma, Glaucomatocyclitic Crisis, Inflammatory Glaucoma, Inflammatory Disease, Posner-Schlossman Syndrome, PSS, Uveitis, Uveitic Glaucoma
Glaucomatocyclitic crisis videos:
Glaucomatocyclitic crisis ( Posner- schlozman syndrome ) video :
Glaucomatocyclitic crisis
