Posted by firstname.lastname@example.org - Posted on 08/13/2016 22:52:52 Glaucoma
70 yeat old presents with 2 day history of eye pain, minimal redness, IOP 42 mm Hg and vision of 20/40 OD. OS was normal. Slit lamp exam findings are as shown in the attached photos. AC deep with 1 + cells and trace flare. Angles were open to CBB.
What is the mostl likely diagnosis? How do you manage this patient
Diagnosis: Posner- Scholssman syndrome
Likely Herpatic etiology
Treatment consists of topical pred drops QID along with topical and oral glaucoma meds. Some people use oral acyclovir as well. Usually resolves within 2-3 weeks.
Some patients have recurrent episodes with permenant increase in IOP that may need surgical intervetion