Hydrus Microstent malposition with uveitis-glaucoma-hyphema syndrome

Young, Cara E Capitena; Peter, Deidre M. St; Ertel, Monica; Pantcheva, Mina B.

doi:10.1016/j.ajoc.2022.101405

Cited by 3 publications

(6 citation statements)

References 4 publications

(4 reference statements)

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“…When the patient starts to be symptomatic by signs and symptoms of UGH, it is recommended to either reposition the IOL or replace it with a more suitable IOL type or design (three-piece IOL) in a better position [11].…”

Section: Discussionmentioning

confidence: 99%

“…UGH syndrome has a wide spectrum of clinical manifestations ranging from chronic uveitis to pigment dispersion, recurrent hyphema, cystoid macular oedema, elevated IOP, iris TIDs or neovascularization with malpositioned IOL, or haptic, as in our case [ 9 - 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…In cases of IOL AC or sulcus (with single-piece lenses) implantation, UGH is more frequently encountered. When the patient starts to be symptomatic by signs and symptoms of UGH, it is recommended to either reposition the IOL or replace it with a more suitable IOL type or design (three-piece IOL) in a better position [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

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Haptic Amputation Under Endoscopic Guidance in Uveitis-Glaucoma-Hyphema Syndrome: A Case Report

Alshehri¹,

Beshri²,

Bamefleh³

2023

Cureus

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Uveitis-glaucoma-hyphema (UGH) syndrome is a rare ophthalmic postoperative complication in which the intraocular implants or devices like intraocular lenses (IOLs) produce chronic mechanical chaffing to the adjacent uveal tissues and/or trabecular meshwork (TM) resulting in a wide spectrum of clinical ophthalmic manifestations ranging from chronic uveitis to secondary pigment dispersion, iris defects, hyphema, macular oedema, or spiked intraocular pressure (IOP).Spiked IOP is a result of direct damage to the TM, hyphema, pigment dispersion, or recurrent intraocular inflammation. UGH syndrome generally develops over a time course, varying from weeks to several years postoperatively.Conservative treatment with anti-inflammatory and ocular hypotensive agents might be sufficient in mild to moderate UGH cases but surgical intervention with implant repositioning, exchange, or explantation might be necessary in more advanced situations.Here, we report our challenge in managing a one-eyed 79-year-old male patient with UGH secondary to migrated haptic, which was successfully managed by intraoperative IOL haptic amputation under endoscopic guidance.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Haptic Amputation Under Endoscopic Guidance in Uveitis-Glaucoma-Hyphema Syndrome: A Case Report

Alshehri¹,

Beshri²,

Bamefleh³

2023

Cureus

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“…The patient also required removal of their Hydrus Microstent with improvement in their condition, but they required further filtering surgery to control their IOP. 4 Safety results from the HORIZON trial, which demonstrated the efficacy of the Hydrus Microstent with cataract surgery in comparison to cataract surgery alone revealed 5 cases (1.4%) of device malposition. 5 However, reposition or removal of the Microstent were not required in any of these cases.…”

Section: Discussionmentioning

confidence: 99%

A Case of Uveitis-Glaucoma-Hyphema Syndrome Related to a Hydrus Microstent

Kaplan

Sit

2023

Journal of Glaucoma

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Uveitis-Glaucoma-Hyphema (UGH) syndrome is characterized by episodes of anterior chamber inflammation, elevated intraocular pressure and hyphema. It is caused by a mechanical chaffing of the iris or ciliary body typically by a malpositioned intraocular lens. We present a rare case of UGH syndrome related to the insertion of a Hydrus Microstent. Due to the increased number of microinvasive glaucoma surgeries being performed and a reduction of UGH syndrome patients related to the insertion of intraocular lenses, it is an important diagnosis to consider in patients with recurrent post-operative inflammation.

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“…Complications from Hydrus malpositioning (Fig. 3) can also include uveitis-glaucoma-hyphema syndrome 72 …”

Section: Complications Of Trabecular Microstent Surgerymentioning

confidence: 99%