Uveitis–Glaucoma–Hyphaema Syndrome. General review

Zemba, M; Camburu, Georgiana

doi:10.22336/rjo.2017.3

Cited by 44 publications

(37 citation statements)

References 14 publications

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“…However, the symptoms might not be completely resolved if there is no clear diagnosis and the mechanical stimulation persists. In most cases, surgical intervention may ultimately be necessary [1].…”

Section: Discussionmentioning

confidence: 99%

Uveitis–glaucoma–hyphema syndrome with sclera-fixed posterior-chamber two-haptic intraocular lens in a highly myopic eye: a case report

Zhu

Yang

et al. 2020

BMC Ophthalmol

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Background: We report a case of uveitis-glaucoma-hyphema (UGH) syndrome in a highly myopic pseudophakic eye with seemingly normal positioning of a two-haptic intraocular lens (IOL). Case presentation: The patient was a 61-year-old woman suffering recurrent episodes of blurred vision, floaters, redness, elevated intraocular pressure (IOP), and pain in the right eye following implantation of a sclera-fixed IOL. The symptoms were alleviated by the systemic and topical administration of IOP-lowering and anti-inflammatory medications. A slit-lamp examination revealed depigmentation and atrophy of the iris, and a quiet anterior chamber in the right eye. Endophthalmitis caused by hypovirulent bacteria and UGH syndrome were both considered. Ultrasound biomicroscopy (UBM) and gonioscopy provided direct evidence of malpositioned IOL haptics, which pushed the root of the iris forward, resulting in persistent mechanical chaffing, the probable cause of UGH syndrome. IOL explantation resolved her symptoms. Negative bacterial culture results for the IOL excluded the possibility of endophthalmitis. Conclusions: Heightened awareness of underlying UGH syndrome and prompt UBM are important when doctors encounter a patient with a sclera-fixed IOL suffering from recurrent anterior segment inflammation and elevated IOP.

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Section: Discussionmentioning

confidence: 99%

Uveitis–glaucoma–hyphema syndrome with sclera-fixed posterior-chamber two-haptic intraocular lens in a highly myopic eye: a case report

Zhu

Yang

et al. 2020

BMC Ophthalmol

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show abstract

“…Patients who presented with glaucoma in association with posterior capsular rupture were managed medically by topical beta blockers, topical and systemic carbonic anhydrase inhibitors and topical steroids and nonsteroidal anti-inflammatory drops. Topical beta blockers and carbonic anhydrase inhibitors should be the preferred choice and miotics and prostaglandin inhibitors should be avoided 21 .…”

Section: Discussionmentioning

confidence: 99%

Frequency Of Pseudophakic Glaucoma In A Tertiary Care Hospital Of Pakistan

Fasih¹,

Shahid²,

Shaikh³

2020

pak J Ophthalmol

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Purpose: To evaluate the frequency, causes and management of pseudophakic glaucoma among the pseudophakic patients presenting in a tertiary care hospital of Pakistan. Study Design: Descriptive cross sectional study. Place and Duration of Study: Department of Ophthalmology, Abbasi Shaheed Hospital, Pakistan, from August 2017 to June 2018. Material and Methods: Adult patients between 50 to 70 years of age with pseudophakic glaucoma were included in the study by non-probability convenience sampling after institutional review board approval. Patients with primary open angle, primary angle closure, traumatic glaucoma, diabetes mellitus and hypertension were excluded. Pseudophakic glaucoma was labeled in case of cataract surgery with intraocular lens implantation and intraocular pressure > 21 mmHg or more in one eye along with glaucomatous optic disc or retinal nerve fiber layer defect on OCT (optical coherence tomography). Frequencies were computed for categorical variables. Data was analyzed on SPSS version 20. Results: Twenty-eight eyes with pseudophakic glaucoma were studied. There were 15 (53.57%) males. Mean age was 63 ± 10.4 SD years. Mean IOP was 30.78 ± 7.5 mm Hg. Patients with extracapsular cataract extraction were 18 (64.2%) and 10 (35.8%) had phacoemulsification. Most frequent cause was posterior capsular rupture (n = 16, 57.1%) followed by pupillary block, (n = 4, 14.2%) and UGH (n = 3, 10.7%). Medical treatment was successful in 20 (71.4%) and surgical treatment was done in 8 patients. Conclusion: Most common causes of pseudophakic glaucoma are posterior capsular rupture, vitreous loss, uveitis and pupillary block. Pseudophakic glaucoma is more common with anterior chamber intraocular lenses and extracapsular cataract extraction.

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“…UGH syndrome can be triggered by any type of pseudophakic lenses – mainly rigid anterior chamber lenses, but also posterior-chamber and iris-supported ones [ 8 ]. The syndrome may develop immediately after cataract surgery or within several years, and may be recurrent [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Iris-Claw Lens Implantation in a Patient with Iridoschisis

et al. 2020

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Patient: Male, 47-year-old Final Diagnosis: Bilateral iridoschisis Symptoms: Visual loss Medication: — Clinical Procedure: Pars plana vitrectomy • lensectomy • artificial lens implantation Specialty: Ophthalmology Objective: Rare co-existance of disease or pathology Background: Iridoschisis is a rare condition defined as a separation of anterior iris stroma from the posterior stroma and muscle layers. The etiopathogenesis of iridoschisis is not fully understood. We report the case of uveitis-glaucoma-hyphema (UGH) syndrome related to the iris-claw lens implantation in a patient with iridoschisis, and propose an alternative approach to aphakia correction. Case Report: A 47-year-old male was referred to our department with bilateral iridoschisis, associated lens subluxation, mature cataract, and secondary glaucoma. The patient underwent bilateral surgery, with entirely different anterior segment results depending on the method of artificial lens implantation. To the best of our knowledge, iris-claw implantation in iridoschisis and the potential association of iridoschisis with increased risk of UGH syndrome, have not been reported previously. Conclusions: Due to the possibly increased risk of UGH syndrome in patients with iridoschisis, one may consider treating aphakia by implantation of scleral fixated lenses, rather than iris-claw lenses.

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Uveitis–Glaucoma–Hyphaema Syndrome. General review

Cited by 44 publications

References 14 publications

Uveitis–glaucoma–hyphema syndrome with sclera-fixed posterior-chamber two-haptic intraocular lens in a highly myopic eye: a case report

Uveitis–glaucoma–hyphema syndrome with sclera-fixed posterior-chamber two-haptic intraocular lens in a highly myopic eye: a case report

Frequency Of Pseudophakic Glaucoma In A Tertiary Care Hospital Of Pakistan

Iris-Claw Lens Implantation in a Patient with Iridoschisis

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