Optic Disc Atrophy in Patient with Posner-Schlossman Syndrome.
10.3341/kjo.2012.26.6.473
- Author:
Tae Hyup KIM
1
;
Jung Lim KIM
;
Changwon KEE
Author Information
1. Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. cwkee@skku.edu
- Publication Type:Case Reports
- Keywords:
Ocular hypertension;
Optic atrophy;
Posner-Schlossman syndrome
- MeSH:
Atrophy/diagnosis/etiology;
Diagnosis, Differential;
Glaucoma, Open-Angle/*complications/diagnosis/physiopathology;
Humans;
*Intraocular Pressure;
Male;
Optic Disk/*pathology;
Optic Nerve Diseases/diagnosis/*etiology/physiopathology;
Syndrome;
Young Adult
- From:Korean Journal of Ophthalmology
2012;26(6):473-477
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 32-year-old man with blurred vision in the right eye and headache presented with anterior uveitis, an intraocular pressure (IOP) of 60 mmHg, an open angle, no visual field defects, and normal optic nerve. He had a history of five previous similar attacks. In each of the previous instances, his anterior uveitis and high IOP were controlled with antiglaucoma medications and topical steroids. However, at the fifth attack, his optic disc was pale and a superior paracentral visual field defect was shown. Brain magnetic resonance image studies were normal. This case represents that a recurrent Posner-Schlossman syndrome (PSS)-induced optic disc atrophy likely due to ocular ischemia caused by a recurrent, high IOP. Although PSS is a self-limiting syndrome, we should manage high IOP and prevent ischemia of the optic nerve head by treating with ocular antihypertensive medications.
