Clinical Features and Risk Factors of Glaucomatous Change in Posner-Schlossman Syndrome.

Lee, Eun Jung; Kwun, Young Kyo; Shin, Dong Hoon; Kee, Chang Won

doi:2015.56.6.938

J Korean Ophthalmol Soc > Volume 56(6); 2015 > Article

Original Article

Journal of the Korean Ophthalmological Society 2015;56(6):938-943.
DOI: https://doi.org/10.3341/jkos.2015.56.6.938 Published online June 15, 2015.

Clinical Features and Risk Factors of Glaucomatous Change in Posner-Schlossman Syndrome.

Eun Jung Lee, Young Kyo Kwun, Dong Hoon Shin, Chang Won Kee

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ckee@skku.edu

포스너-슐로스만 증후군의 임상양상과 녹내장성 변화의 위험 인자

이은정⋅권영교⋅신동훈⋅기창원

성균관대학교 의과대학 삼성서울병원 안과학교실

Received: 25 July 2014 • Revised: 1 December 2015 • Accepted: 20 April 2015

Abstract

PURPOSE
To analyze the clinical features and determine the factors that affect glaucomatous change of patients with Posner-Schlossman syndrome (PSS). METHODS: A retrospective analysis of 51 eyes of 51 patients diagnosed with PSS was performed. We analyzed the factors including age of first attack, highest intraocular pressure (IOP), duration of the disease, number of the attacks and interval between attacks among the patients who developed glaucoma and those who did not and compared the 2 groups. RESULTS: The age of first attack was 34.73 +/- 10.77 years, and highest IOP was 47.75 +/- 9.43 mm Hg. Duration of the disease was 62.06 +/- 69.84 months, number of the attacks was 6.20 +/- 7.73 times, and interval between attacks was 12.65 +/- 8.95 months. Of 51 eyes of 51 patients, 12 eyes (23.5%) of 12 patients showed significant glaucomatous change. In the glaucoma group, highest IOP was 52.81 +/- 7.87 mm Hg, number of attacks was 11.91 +/- 10.63 times, and interval between attacks was 8.07 +/- 3.97 months. In the non-glaucomatous group highest IOP was 46.19 +/- 9.14 mm Hg, number of attacks was 4.59 +/- 5.94 times, and interval between attacks was 14.59 +/- 9.79 months, respectively. Highest IOP was significantly greater, number of attacks was higher, and interval was shorter with statistical significance in the glaucoma group (p = 0.025, p = 0.001, p = 0.028). CONCLUSIONS: A significant number of patients with PSS tend to show glaucomatous change over time. Patients with high IOP during attacks and those having frequent attacks with short intervals should be closely monitored and evaluation for glaucomatous damage is recommended.

Key Words: Glaucoma;Posner-Schlossman syndrome;Risk factors