Megaw Roly, Agarwal Pankaj Kumar
Medical Research Council Human Genetics Unit, Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, United Kingdom; Princess Alexandra Eye Pavilion, Edinburgh, United Kingdom.
Princess Alexandra Eye Pavilion, Edinburgh, United Kingdom.
Surv Ophthalmol. 2017 May-Jun;62(3):277-285. doi: 10.1016/j.survophthal.2016.12.005. Epub 2016 Dec 22.
Posner-Schlossman syndrome, or glaucomatocyclitic crisis, is a unilateral ocular condition characterized by recurrent attacks of nongranulomatous anterior uveitis and raised intraocular pressure that can result in chronic secondary glaucoma. This relatively rare disease is most likely the result of recurrent cytomegalovirus infection and affects predominantly middle-aged males. Diagnosis is largely clinical, with aqueous and blood sampling aiding the identification of any underlying infectious cause. Successful disease management is often achieved by topical treatment, although systemic therapy and even surgical intervention may be required. We discuss our current understanding of Posner-Schlossman syndrome, from its pathophysiology through to recommended treatment options.
波斯纳-施洛斯曼综合征,即青光眼睫状体炎危象,是一种单眼病症,其特征为非肉芽肿性前葡萄膜炎反复发作以及眼压升高,可导致慢性继发性青光眼。这种相对罕见的疾病很可能是巨细胞病毒反复感染的结果,主要影响中年男性。诊断主要依靠临床症状,房水和血液采样有助于识别任何潜在的感染原因。尽管可能需要全身治疗甚至手术干预,但通常通过局部治疗就能成功控制病情。我们将讨论目前对波斯纳-施洛斯曼综合征的认识,从其病理生理学到推荐的治疗方案。