Glaucoma Secondary to Uveitis Due to Posner Schlossman Syndrome

Abstract

Considering the clinical relevance of secondary glaucoma due to uveitis in posner-schlossman� syndrome (PSS), this study aims to evaluate the natural history of this condition in a patient. To� that end, we present the case of a 41-year-old man who experienced hyperemia, mild eye� discomfort and decrease in visual acuity in the left eye. The initial ophthalmological examination� revealed an intraocular pressure (IOP) of 30 mmhg in the left eye and 19 mmhg in the right, with� gonioscopy showing an open angle and trabecular pigmentation. The patient was treated with� topical corticosteroids, resulting in normalization of IOP. During follow-up, the patient experienced� recurrent episodes of anterior uveitis with IOP ranging from 22 mmhg to 28 mmhg until april 2024.� OCT examinations showed thinning of the nerve fiber layer, while visual fields remained normal.� Thus, it is observed that early diagnosis and treatment are crucial for the effective management of� secondary glaucoma due to uveitis, contributing to the preservation of visual function. It is� concluded that rapid intervention with topical corticosteroids is essential to prevent glaucomatous� neuropathy secondary to uveitis and to maintain the patient's ocular health.�