Delhi Journal of Ophthalmology

Bilateral Posner Schlossman Syndrome with Underlying Open Angle Glaucoma

Madhu Bhoot, Suneeta Dubey, Saptarshi Mukherjee
Dr. Shroff’s Charity Eye Hosptial, New Delhi, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.

Corresponding Author:

Madhu Bhoot 
Dr. Shroff’s Charity Eye Hospital
5027, Kedar Nath Road, Daryaganj
New Delhi - 110002, India
Email id:

Published Online: 31-JAN-2019

Purpose: To describe a case of Posner Schlossman Syndrome (PSS) with bilateral presentation with underlying open angle glaucoma. 
Case Report: A young patient presented with blurring of vision in the right eye. On examination, he had mild anterior chamber reaction and open angles on gonioscopy. IOP was 30mm Hg in the right eye and 11mm Hg in the left eye. He had recurrent episodes of IOP spikes in the right eye despite being on ocular hypotensives. Trabeculectomy was done in the right eye. Few months later, he had similar episodes of elevation of IOP with inflammation in the left eye also for which he underwent trabeculectomy. Following trabeculectomy, his IOP was well controlled in both the eyes. 
Conclusion: PSS should be considered in any patient with increased IOP without any other signs because the inflammation may be so mild as to be overlooked or it may follow the acute rise in IOP by some days. Though PSS is unilateral, a bilateral presentation should also be kept in mind. Follow up of the patients should be at regular intervals and they need to have their visual fields and optic discs frequently monitored because of the recurrent nature and progression of the optic disc damage.

Keywords :Posner Schlossman, Bilateral, Open angle, Glaucoma, Inflammation