Posner-Schlossman Syndrome (PSS) or hypertensive iridocyclitis Crysis is sometimes seen by an ophthalmologist. It is an acute condition patient presents with unilateral red eye pain with raised IOP there is IOP of 35 mm Hg or more which may remain for minutes days or weeks. The condition may be mistaken for angle closure glaucoma but the angle is open on gonioscopy. However, on S lamp examination we see half a dozen whose spots on the back of cornea which are kps ans 1 to 2 cells in ac and flare.
If we do paracentesis the level of prostaglandins is high in aqueous indicating the condition is a low-grade trabeculitis or uveitis. So the treatment is the use of topical steroids most of the people. In the beginning due to high IOP thought it is a glaucoma entty and put the patient on ag medication, this is wrong. Share your views.
