A 45-year-old man presents with recurrent unilateral episodes of mild anterior chamber inflammation with a few keratic precipitates and markedly elevated IOP (40-50 mmHg) that resolve spontaneously between episodes. The optic disc is not cupped. This clinical picture is characteristic of which syndrome?
- A Posner-Schlossman syndrome (glaucomatocyclitic crisis) ✓
- B Fuchs heterochromic iridocyclitis
- C Herpetic keratouveitis
- D Acute anterior uveitis with secondary glaucoma
Correct answer: A. Posner-Schlossman syndrome (glaucomatocyclitic crisis)
Explanation
Posner-Schlossman syndrome (glaucomatocyclitic crisis) is characterized by recurrent unilateral episodes of markedly elevated IOP with mild anterior chamber inflammation, few fine keratic precipitates, open angle, and absence of glaucomatous cupping between episodes. Fuchs heterochromic iridocyclitis shows diffuse iris atrophy and stellate KPs but typically has normal or low IOP. Herpetic disease shows corneal dendrites or stromal scarring.
Reference: AAO BCSC Section 10: Glaucoma, 2023-2024 ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.