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Posner-Schlossman Syndrome Posner-Schlossman综合症
Pub Date : 2017-11-13 DOI: 10.18535/JMSCR/V5I5.155
Rishi Sharma, Alok Sati, Sandeep Shankar, Brig V.S. Gurunadh
Thirty-two years old male patient presented with four day history of mild redness, pain and blurring of vision of the left eye. He gave history of similar episode 4-5 months back and it subsided with treatment. Visual acuity on presentation was 6/6 RE and 5/60 → 6/12 with -1.5 DSph/-2.75 D Cyl at 110o (left eye). Anterior segment was normal in the right eye. In the left eye, fine keratic precipitates on cornea and trace anterior chamber cells and flare were noted. Pigments were seen on anterior capsule of lens. Dilated fundus examination revealed a normal appearing disc with no cup in right eye and pale disc with C:D ratio 0.8 with a thin neuro-retinal rim in the left eye. Colour vision was normal. Intraocular pressure (IOP) was 14 and 35 mm Hg by applanation in the right and left eyes, respectively. On gonioscopy ciliary body band was visible for 360 degree without any peripheral anterior synechiae or inflammatory deposits. Automated perimetry revealed full visual field in the right eye and a dense scotoma with central island of field in the left eye. He was treated with oral and topical antiglaucoma medications along with topical steroids. On follow up, his vision was 6/6 (right eye) and 6/12 (left eye) with IOP of 12 and 16 mm Hg.
患者男,32岁,左眼轻度发红、疼痛、视力模糊4天。4-5个月前有类似病史,经治疗后消退。首发时视力为6/6 RE, 5/60→6/12,左眼110度时-1.5 DSph/-2.75 D Cyl。右眼前节正常。左眼角膜可见细小的角膜沉淀,前房细胞和光斑可见。晶状体前囊可见色素。眼底扩张检查显示右眼呈正常无杯状盘,左眼呈C:D比0.8的苍白盘,神经视网膜边缘薄。色觉正常。右、左眼眼内压(IOP)分别为14、35 mm Hg。镜检显示睫状体带360度可见,未见周围前粘连或炎性沉积。自动视野检查显示右眼视野完整,左眼视野中心岛状致密暗斑。他接受了口服和局部抗青光眼药物以及局部类固醇的治疗。随访时,他的视力分别为6/6(右眼)和6/12(左眼),IOP分别为12和16 mm Hg。
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Basic & Clinical Medicine
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