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

Alexandra Schulte; Barry Skarf; Pedro Monsalve

doi:10.1016/j.ajoc.2023.101816

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

Am J Ophthalmol Case Rep. 2023 Feb 14:30:101816. doi: 10.1016/j.ajoc.2023.101816. eCollection 2023 Jun.

Authors

Alexandra Schulte¹, Barry Skarf², Pedro Monsalve²

Affiliations

¹ Michigan State University Clinical Center, 804 Service Rd, East Lansing, MI, 48824, USA.
² Henry Ford Health System, Ophthalmology Department, 2799 W. Grand Boulevard, Detroit, MI, 48202, USA.

Abstract

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.

Keywords: NAION; Ocular perfusion pressure; Posner-Schlossman syndrome.

Publication types

Case Reports