Trabeculectomy with ExPress – an effective solution to Posner-Schlossman syndrome

Abstract

Posner-Schlossman syndrome (PSS) is a unilateral ocular disease, characterized by recurrent non-granulomatous anterior uveitis and increased intraocular pressure (IOP), leading to chronic secondary glaucoma. In this case report, we present the case of a 46-year-old man with chronic, hypertensive anterior uveitis in the left eye and frequent recurrences over the last two years. The patient suffers from Posner-Schlossman syndrome with chronic secondary glaucoma, unresponsive to medication therapy. After trabeculectomy with ExPress implantation and, later on, cataract surgery with implantation of an intraocular lens in the left eye, the IOP varied between 10 and 12 mmHg over a period longer than a year without any medication therapy. Patients with PSS are at risk of developing secondary glaucoma and irreversible complications. Trabeculectomy with ExPress implantation is a reliable and effective treatment of IOP unresponsive to medication therapy.