J Korean Ophthalmol Soc.  2014 Nov;55(11):1710-1713. 10.3341/jkos.2014.55.11.1710.

A Case of Posner-Schlossman Syndrome with Retinal Arterial Tortuosity in a Young Male

• Ghim WH
• Lee MW

• KMID: 2216623
• DOI: http://doi.org/10.3341/jkos.2014.55.11.1710

Abstract

PURPOSE
To report a case of Posner-Schlossman syndrome with retinal arterial tortuosity in a young male.
CASE SUMMARY
A 15-year-old male presented to our department with a halo in his left vision. Best corrected visual acuity was 0.6 and intraocular pressure was 59 mm Hg in the left eye. Slit lamp examination revealed corneal edema, keratic precipitate, deep anterior chamber, anterior chamber cell (1+) and open angle. Fundus examination revealed increased cup/disc (C/D) ratio and retinal arterial tortuosity. After treatment with anti-glaucomatic eyedrops, steroid eyedrops, and nonsteroidal anti-inflammatory drug (NSAID) eyedrops, intraocular pressure decreased to 15 mm Hg and C/D ratio decreased.
CONCLUSIONS
Posner-Schlossman syndrome can occur even at an early age and must be included in the differential diagnosis of glaucoma in pediatric patients. Additional studies should be conducted regarding the association between retinal arterial tortuosity and Posner-Schlossman syndrome.

Keyword

Posner-Schlossman; Retinal arterial tortuosity

MeSH Terms

Adolescent
Anterior Chamber
Corneal Edema
Diagnosis, Differential
Glaucoma
Humans
Intraocular Pressure
Male
Ophthalmic Solutions
Retinaldehyde*
Visual Acuity
Ophthalmic Solutions
Retinaldehyde

Figure

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  Figure 1. (A) Slit lamp investigation of left eye at first visit show ed corneal edema, deep anterior chamber, and keratic precipitate. (B) Slit lamp investigation of left eye at first visit showed enough deep peripheral anterior chamber to indicate open angle. (C) Fundus photo of left eye at high intraocular pressure (IOP) on first visit show ed cup/disc (C/D) ratio as 0.6 and retinal arterial tortuosiy. (D) Fundus photo of left eye after 5 days still showed retinal arterial tortuosity.

Reference

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