Abstract

A 43 year old male presented to the emergency room of Assam Medical College & Hospital, Dibrugarh, with the chief complains of vision of right eye with redness, fogginess of vision, pain and vomiting.  There was corneal edema with mild ciliary congestion and sluggishly reacting mid dilated pupil .The optic disc was normal .The intra ocular tension was found 56 mmHg but diurnal variation was less than 8 mmHg.  In left eye visual acuity was 6/18 with normal intraocular tension. There was past history of  iridectomy in the left eye  which were  done 15 years back due to similar complaint to the left eye  and they were patent superiorly in 12 and 1o’clock positions. But gonioscopy found no occludable angle of the anterior chamber, rather they were found wide open. There   were neither synachiae nor abnormal vessels seen, except few keratic precipitate cells in the anterior chamber of the right eye. Dark room provocative tests and water drinking test were negative and there was no history of any steroid use in any form. The patient was treated with intravenous mannitol, timolol maleate and prednisolone acetate eye drops. He got relief after two days and subsequent follow ups showed normal intraocular tension. The case was diagnosed as a Posner–Schlossman syndrome .This is a relatively rare uveitic condition as Posner Schlossman syndrome with occasional cells only is a very rare finding.

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