Typical patient: young to middle aged adult
Features:
(1) multiple episodes of unilateral glaucoma lasting hours to weeks
(2) intraocular pressure is typically 40 - 60 Hg during an attack
(3) symptoms of iridocyclitis (blurred vision, ocular discomfort, halos, etc)
(4) minimal findings on ocular exam (variable ciliary flush, slight papillary constriction, corneal epithelial edema, hypochromia of the iris)
Additional findings:
(1) A significant percentage of patients show HLA-Bw54.
(2) Some patients have systemic disorders that may include allergic symptoms or peptic ulcerations.
(3) Some patients may show segmental ischemia of the iris with leakage.
Gonioscopy shows:
(1) normal open angle
(2) absence of synechiae
(3) occasional debris
