UGH syndrome after posterior chamber lens implantation

Percival, S.P.B.; Das, Sayan

doi:10.1016/s0146-2776(83)80048-2

Cited by 39 publications

(7 citation statements)

References 2 publications

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“…Uveitis–glaucoma–hyphema was originally associated with anterior chamber IOLs 2 but was later reported in patients with extracapsular posterior chamber IOLs as well. 3 Some authors have even described UGH in the setting of square-edge posterior chamber IOLs implanted in the capsular bag 4 –6 or the ciliary sulcus. 7 Even though uveitis, elevated intraocular pressure, and hyphema are the classic associations, 8 another common finding is recurrent vitreous hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Vitreous Hemorrhage Secondary to Sulcus Positioning of a One-Piece Acrylic Intraocular Lens Haptic: Report of 3 Cases and Management With Retrocapsular Haptic Repositioning

Mantopoulos

Prenner

Wheatley

2017

Journal of VitreoRetinal Diseases

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Three pseudophakic patients presented with recurrent, unilateral vitreous hemorrhage, one of which also had uveitis, glaucoma, and hyphema, consistent with "uveitis-glaucoma-hyphema (UGH)-Plus" syndrome. Arcuate transillumination defects secondary to inadvertent placement of 1 intraocular lens (IOL) haptic in the sulcus were identified in each case. The second haptic and optic were located in the capsular bag. The IOLs were all single-piece foldable acrylic lenses with square-edge haptic design. Surgical repositioning of the malpositioned haptic from the sulcus to the retrocapsular space resulted in the resolution of the recurrent vitreous hemorrhage. This series highlights the fact that recurrent vitreous hemorrhage secondary to iris chafing, with or without UGH, may occur in cases where a square-edge IOL haptic is placed in the sulcus. Vitrectomy with repositioning of the malpositioned IOL is a simple alternative to IOL exchange in these cases.

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Section: Discussionmentioning

confidence: 99%

Recurrent Vitreous Hemorrhage Secondary to Sulcus Positioning of a One-Piece Acrylic Intraocular Lens Haptic: Report of 3 Cases and Management With Retrocapsular Haptic Repositioning

Mantopoulos

Prenner

Wheatley

2017

Journal of VitreoRetinal Diseases

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“…Uveitis-Glaucoma-Hyphema (UGH) syndrome has been reported in eyes with ACIOLs as well as others where the IOLs were placed in the ciliary sulcus and the capsular bag. 6,7 Recurrent vitreous hemorrhage is another clinical feature of UGH that is perhaps under-recognized. This is frequently referred to as "UGH-plus."…”

Section: Glaucoma-hyphema Due To Inadvertent Placement In Sulcusmentioning

confidence: 99%

Navigating the Options for the Treatment of Intraocular Lens Malposition

Mantopoulos¹,

Fine²,

Prenner³

2017

Ophthalmic Surg Lasers Imaging Retina

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“…Das Uveitis-Glaukom-Hyphäma-Syndrom stellte in den Anfängen der Kataraktchirurgie eine häufige Komplikation dar [1,4,8]. Ursächlich waren u. a. eine ungünstige Platzierung der IOL und das Material der IOL.…”

Section: Introductionunclassified

Iritis mit Entgleisung des Intraokulardrucks bei Dislokation der Hinterkammerlinse

Handzel¹

2012

Ophthalmologe

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This report concerns the case of a 67-year-old male patient who underwent uncomplicated phacoemulsification with implantation of a posterior chamber intraocular lens (IOL). After an interval of 2 months the patient developed iritis together with an uncontrollable increase in intraocular pressure. After a detailed examination a dislocated haptic of the IOL was identified as the cause of the symptoms. The dislocation had led to uveitis-glaucoma-hyphema syndrome although no hemorrhage was observed. In addition to this complication the haptic had arroded the zonular complex which made implantation of an anterior chamber lens necessary. Although improvements in operating techniques, lens materials and designs have been made uveitis-glaucoma-hyphema syndrome has to be kept in mind. Surgical intervention is the only therapeutic option.

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UGH syndrome after posterior chamber lens implantation

Cited by 39 publications

References 2 publications

Recurrent Vitreous Hemorrhage Secondary to Sulcus Positioning of a One-Piece Acrylic Intraocular Lens Haptic: Report of 3 Cases and Management With Retrocapsular Haptic Repositioning

Recurrent Vitreous Hemorrhage Secondary to Sulcus Positioning of a One-Piece Acrylic Intraocular Lens Haptic: Report of 3 Cases and Management With Retrocapsular Haptic Repositioning

Navigating the Options for the Treatment of Intraocular Lens Malposition

Iritis mit Entgleisung des Intraokulardrucks bei Dislokation der Hinterkammerlinse

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