Posner-Schlossman Syndrome (Glaucomatocyclitic Crisis) Follow-up

Updated: Jul 07, 2017
  • Author: Leonard K Seibold, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Follow-up

Further Outpatient Care

Patients with elevated IOP should be monitored carefully and frequently until the IOP normalizes and the medications are tapered off appropriately.

Annual visual field assessment is indicated in patients with ongoing optic nerve compromise or pressure irregularities. This assessment also helps in identifying those patients who are at risk of developing POAG. [35]

Long-term follow-up care of patients by an ophthalmologist is important.

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Inpatient & Outpatient Medications

See Medication.

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Complications

Complications are related to prolonged IOP elevations secondary to aqueous outflow impairment, resulting in damage to the optic nerve head and visual field compromise. Three mechanisms are identified with these prolonged elevations, as follows: (1) underlying POAG, (2) prolonged steroid administration, and (3) increased frequency of recurrent glaucomatocyclitic attacks.

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Prognosis

An uncomplicated course is usual for most patients. In properly diagnosed and treated patients, vision remains uncompromised. However, glaucomatous optic nerve atrophy is irreversible.

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Patient Education

Appropriate discussion with patients and their families must include an emphasis on the recurrent nature of this disorder and its association with POAG. Patients should be educated about the medications, their limitations, and their adverse effects.

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