Non-arteritic anterior ischemic optic neuropathy secondary to Posner-Schlossman syndrome in a twenty-six-year-old female

Purpose: To describe a case of non-arteritic ischemic optic neuropathy (NAION) secondary to Posner-Schlossman syndrome in a twenty-six-year-old female. Observations: A 26-year-old female presented with painful visual loss of the left eye, elevated intraocular pressure of 38 mmHg, and trace to 1+ ant...

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Main Authors: Alexandra Schulte, Barry Skarf, Pedro Monsalve
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993623000245
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author Alexandra Schulte
Barry Skarf
Pedro Monsalve
author_facet Alexandra Schulte
Barry Skarf
Pedro Monsalve
author_sort Alexandra Schulte
collection DOAJ
description Purpose: To describe a case of non-arteritic ischemic optic neuropathy (NAION) secondary to Posner-Schlossman syndrome in a twenty-six-year-old female. Observations: A 26-year-old female presented with painful visual loss of the left eye, elevated intraocular pressure of 38 mmHg, and trace to 1+ anterior chamber cell. Diffuse optic disc edema in the left eye and a small cup-to-disc ratio of the right optic disc were evident. Magnetic resonance imaging was unremarkable. Conclusions and Importance: The patient was diagnosed with NAION secondary to Posner-Schlossman syndrome, an uncommon ocular entity that can significantly affect vision. Posner-Schlossman syndrome can cause a decrease in ocular perfusion pressure involving the optic nerve and can lead to ischemia, swelling, and infarction. NAION should be considered in the differential diagnosis of young patients with sudden development of optic disc swelling and increased intraocular pressure with normal magnetic resonance imaging findings.
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spelling doaj.art-d3b7c3a28b844ab68ba23e856ff6a0d22023-05-19T04:46:08ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362023-06-0130101816Non-arteritic anterior ischemic optic neuropathy secondary to Posner-Schlossman syndrome in a twenty-six-year-old femaleAlexandra Schulte0Barry Skarf1Pedro Monsalve2Michigan State University Clinical Center, 804 Service Rd, East Lansing, MI, 48824, USAHenry Ford Health System, Ophthalmology Department, 2799 W. Grand Boulevard, Detroit, MI, 48202, USAHenry Ford Health System, Ophthalmology Department, 2799 W. Grand Boulevard, Detroit, MI, 48202, USA; Corresponding author. Henry Ford Health System, Department of Ophthalmology, 2799 W. Grand Boulevard, Detroit, MI, 48202, USA.Purpose: To describe a case of non-arteritic ischemic optic neuropathy (NAION) secondary to Posner-Schlossman syndrome in a twenty-six-year-old female. Observations: A 26-year-old female presented with painful visual loss of the left eye, elevated intraocular pressure of 38 mmHg, and trace to 1+ anterior chamber cell. Diffuse optic disc edema in the left eye and a small cup-to-disc ratio of the right optic disc were evident. Magnetic resonance imaging was unremarkable. Conclusions and Importance: The patient was diagnosed with NAION secondary to Posner-Schlossman syndrome, an uncommon ocular entity that can significantly affect vision. Posner-Schlossman syndrome can cause a decrease in ocular perfusion pressure involving the optic nerve and can lead to ischemia, swelling, and infarction. NAION should be considered in the differential diagnosis of young patients with sudden development of optic disc swelling and increased intraocular pressure with normal magnetic resonance imaging findings.http://www.sciencedirect.com/science/article/pii/S2451993623000245Posner-Schlossman syndromeOcular perfusion pressureNAION
spellingShingle Alexandra Schulte
Barry Skarf
Pedro Monsalve
Non-arteritic anterior ischemic optic neuropathy secondary to Posner-Schlossman syndrome in a twenty-six-year-old female
American Journal of Ophthalmology Case Reports
Posner-Schlossman syndrome
Ocular perfusion pressure
NAION
title Non-arteritic anterior ischemic optic neuropathy secondary to Posner-Schlossman syndrome in a twenty-six-year-old female
title_full Non-arteritic anterior ischemic optic neuropathy secondary to Posner-Schlossman syndrome in a twenty-six-year-old female
title_fullStr Non-arteritic anterior ischemic optic neuropathy secondary to Posner-Schlossman syndrome in a twenty-six-year-old female
title_full_unstemmed Non-arteritic anterior ischemic optic neuropathy secondary to Posner-Schlossman syndrome in a twenty-six-year-old female
title_short Non-arteritic anterior ischemic optic neuropathy secondary to Posner-Schlossman syndrome in a twenty-six-year-old female
title_sort non arteritic anterior ischemic optic neuropathy secondary to posner schlossman syndrome in a twenty six year old female
topic Posner-Schlossman syndrome
Ocular perfusion pressure
NAION
url http://www.sciencedirect.com/science/article/pii/S2451993623000245
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