Long-term efficacy of deep sclerectomy in Posner-Schlossman syndrome

Abstract

The Posner-Schlossman syndrome (PSS) is an elusive disease that can lead to serious consequences such as glaucomatous damage. Deep sclerectomy has been proven thus far to be the most effective surgical intervention to keep intraocular pressure (IOP) elevation under control compared with other surgical techniques, because it presents the least amount of postoperative complications. The aim of this case report is to demonstrate the efficacy of deep sclerectomy with T-Flux and the long-lasting effects that persist after 7 years in an eye affected by PSS. This case report demonstrates that an intervention of deep sclerectomy can lead to excellent results in terms of visual acuity as well as IOP lowering early in the history of the patient affected by PSS so that it can preclude establishment of glaucomatous damage.

Current Approach in the Diagnosis and Management of Uveitic Glaucoma

“…Goniopuncture was required 9 months after NPDS. The IOP remained 15 to 16 mmHg without topical treatment and no subsequent episode of ocular inflammation 6 years after Nd:YAG laser goniopuncture [ 44 ]. In our personal experience, NPDS in PSS facilitates significant reductions in the number and severity of hypertensive peaks (unpublished data); one patient presented with persistent hypotony maculopathy after NPDS with MMC ( Figure 6 ).…”