{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T11:41:58Z","timestamp":1760010118278,"version":"build-2065373602"},"reference-count":10,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,7,17]]},"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:p>A man in his mid-40s initially presented with acute unilateral ocular pain, redness and elevated intraocular pressure (IOP 32 mm\u2009Hg) in the right eye. Clinical records at that time documented circumcorneal congestion and a significant anterior chamber reaction (cells 3+), with a normal cup-disc ratio, leading to a diagnosis of Posner\u2013Schlossman syndrome. The patient\u2019s symptoms improved with topical steroids and three antiglaucoma medications; however, self-discontinuation led to intermittent IOP fluctuations. When evaluated 15 months after the initial episode, he had reduced vision (6\/9), an IOP spike (34\u2009mm\u2009Hg), an inferotemporal sphincter tear and advanced optic nerve cupping (0.8). Gonioscopy revealed inferotemporal angle recession, and retrospective history disclosed prior blunt trauma. This shifted the diagnosis to traumatic glaucoma secondary to angle recession, a condition with sustained structural and optic nerve damage\u2014unlike the typically benign, transient course of Posner\u2013Schlossman syndrome. Accurate differentiation is critical, as traumatic cases may require early surgical intervention, in contrast to the conservative management of Posner\u2013Schlossman syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2025-266358","type":"journal-article","created":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T11:10:16Z","timestamp":1760008216000},"page":"e266358","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic dilemma: angle recession and traumatic glaucoma versus Posner\u2013Schlossman syndrome"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4784-1248","authenticated-orcid":false,"given":"Aahan","family":"Shah","sequence":"first","affiliation":[{"name":"Ophthalmology, JIPMER, Puducherry, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Stephen","sequence":"additional","affiliation":[{"name":"Ophthalmology, JIPMER, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalyan","family":"Basa","sequence":"additional","affiliation":[{"name":"Ophthalmology, JIPMER, Puducherry, Pondicherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subashini","family":"Kaliaperumal","sequence":"additional","affiliation":[{"name":"Jawaharlal Institute of Post Graduate Medical Education, Pondicherry, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,10,9]]},"reference":[{"key":"2025100904100940000_18.10.e266358.1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.56.5.418"},{"key":"2025100904100940000_18.10.e266358.2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.57.8.608"},{"key":"2025100904100940000_18.10.e266358.3","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.126.7.921"},{"key":"2025100904100940000_18.10.e266358.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0896-1549(02)00011-1"},{"key":"2025100904100940000_18.10.e266358.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(14)76303-2"},{"key":"2025100904100940000_18.10.e266358.6","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1136\/bjo.85.2.159","article-title":"Trabeculectomy with mitomycin C in the treatment of post-traumatic angle recession glaucoma","volume":"85","author":"Manners","year":"2001","journal-title":"Br J Ophthalmol"},{"key":"2025100904100940000_18.10.e266358.7","doi-asserted-by":"publisher","DOI":"10.3109\/08820538.2011.605821"},{"key":"2025100904100940000_18.10.e266358.8","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/j.survophthal.2020.02.003","article-title":"Pathophysiology and management of glaucoma and ocular hypertension related to trauma","volume":"65","author":"Razeghinejad","year":"2020","journal-title":"Surv Ophthalmol"},{"key":"2025100904100940000_18.10.e266358.9","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.survophthal.2016.12.005","article-title":"Posner-Schlossman syndrome","volume":"62","author":"Megaw","year":"2017","journal-title":"Surv Ophthalmol"},{"key":"2025100904100940000_18.10.e266358.10","first-page":"239","article-title":"Trabecular damage due to blunt anterior segment injury and its relationship to traumatic glaucoma","volume":"83","author":"Herschler","year":"1977","journal-title":"Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-266358","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T11:10:18Z","timestamp":1760008218000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-266358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":10,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10,9]]},"published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1136\/bcr-2025-266358"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-266358","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]}}}