What is the role of surgery in the treatment of Posner-Schlossman syndrome (PSS) (glaucomatocyclitic crisis)?

Updated: May 18, 2020
  • Author: Leonard K Seibold, MD; Chief Editor: Hampton Roy, Sr, MD  more...
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Answer

An occasional patient may require a filtering procedure, which is not effective in preventing recurrences of the episodes of iritis but may be useful in the management of high IOP seen with these episodes. [5, 41, 42]

Filtering surgery is generally not as effective in lowering IOP in uveitic glaucoma. During trabeculectomies in this population, higher levels of fibroblasts, lymphocytes, and macrophages are found in the conjunctiva, increasing the scarring of the bleb and decreasing the effectiveness of postoperative 5-FU subconjunctival injections. [43]

Laser trabeculoplasty likely provides no benefit in this population.


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