Crises glaucomatociclíticas. Relato de seis casos

Crises glaucomatociclíticas. Relato de seis casos

Autores:

Cleide Guimarães Machado,
Roberto Freire Santiago Malta,
José Carlos Eudes Carani

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.53 no.3 São Paulo maio/jun. 1990

http://dx.doi.org/10.5935/0004-2749.19900029

SUMMARY

This paper describes six patients with glaucomatocyclitic crisis. Each patient presented with recurrent attacks of unilateral acute ocular hipertension with mild cyclitis. ln each episode the congestive signs and symptoms were slight despite the high intra-ocular tension. The episodes lasted from two days to three weeks and resolved on anti-glaucomatous and anti-inflammatory medications. Despite the repeated attacks no field detect was encountered. In two patients glaucomatous cupping was observed; one of them had associated primary open-angle glaucoma.

One unusual finding in this series was that two patients were alcoholic and in one of them the attacks appeared to be precipitated by acute alcoholic ingestion.

Prophylatic administration of topic indomethacin or tropicamide was tried in four patients, but their effectiveness in preventing the attacks was doubtful.

REFERÊNCIAS

1 POSNER, A.; SCHLOSSMAN, A.: Syndrome of unilateral recurrent attacks of glaucoma with cyclitic symptoms. Arch. Ophthalmol. 39:517, 1948.
2 THEODORE, F.H.; Observations of glaucotocyclitic crises. Br. J. Ophthalmol. 36:207, 1952.
3 POSNER, A.; SCHLOSSMAN, A.: Further observations on the syndrome of glaucomatocyclitic crises. Tr. Am. Acad. Ophthalmol. Otolaryngol. 57:531, 1953.
4 RUD, E.: Posner-Schlossman's syndrome. A report of a case. Acta Ophthalmol. 35:406, 1957.
5 LEVATIN, P.: Glaucomatocyclitic crises ocurring in both eyes. Am. J. Ophthalmol. 41:1 056, 1956.
6 SOKOLIC, P.: Observation of glaucomatocyclitic crisis associated with developmental glaucoma: contribution to the etiology. ActaOphthalmol. 44:607, 1966.
7 HART, C.T.; WEATHERILL, J.R.: Gonioscopy and tonography in glaucomatocyclitic crisis. Br. J. Ophthalmol. 52:682, 1968.
8 SOKOLIC, P.: Another case with recurrent glaucomatocyclitic crisis and anomalies in chamber angle. observed during and between hypertensive episodes. Acta Ophthalmol. 47: 1129, 1969.
9 CALIXTO, N.; OREFICE, F.: Crises glaucomatociclíticas e glaucoma crônico simples. Rev. Bras. Oftalmol. 26:347, 1967.
10 KASS, M.A.; BECKER, B.; KOLKER, A.: Glaucomatocyclitic crisis and primary open-angle glaucoma. Am. J. Ophthalmol. 75:668, 1973.
11 FILHO, A.L.; ROMAO, E.: Crisis glaucomatociclíticas, glaucoma crônico simples e corticoterapia. Rev. Bras. Oftalmol. 31:79, 1972.
12 RAITTA, C.; VANNAS, A.: Glaucomatocyclitic crisis. Arch. Ophthalmol. 95:608, 1977.
13 SPIVEY, B.E.; ARMALY, M.: Tonographic findings in glaucomatocyclitic crisis, Am. J. Ophthalmol. 55:47, 1963.
14 HARSTAD, H.K.; RINOVOLD, A.: Glaucomatocyclitc crises (posner-Schlossman syndrome). A case report. Acta. Ophthalmol. 64:146, 1986.
15 NAOATAKI, S.; MISHIMA, S.: Aqueous humor dynamics in glaucomatocyclitic crisis. Invest. Ophalmol. 15:368, 1976.
16 MASUDA, K.: IZAW A, Y.; MISHIMA, S.: Prostaglandins and glaucomatocyclitic crisis. Jpn. J. Ophthalmol. 19:368, 1975.