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Ophthalmology · Glaucoma: Posner-Schlossman
Sample itemA middle-aged man has recurrent unilateral episodes of markedly raised IOP with mild discomfort, few keratic precipitates and an open angle. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Glaucomatocyclitic crisis
Posner-Schlossman syndrome is a self-limiting recurrent hypertensive anterior uveitis, often linked to cytomegalovirus. Treatment is topical steroids and IOP-lowering drugs.
Option by option
A. Neovascular glaucoma
Neovascular glaucoma has rubeosis.
B. Glaucomatocyclitic crisis (correct)
Correct. Recurrent open-angle pressure spikes with few KPs identify this condition.
C. Phacolytic glaucoma
Phacolytic glaucoma has a hypermature cataract.
D. Acute angle closure
Angle closure has a closed angle with a mid-dilated pupil.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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