Uveitis-glaucoma-hyphaema syndrome with in-the-bag placement of intraocular lens

Badakere, Swathi; Senthil, Sirisha; Turaga, Kiranmaye; Garg, Prashant

doi:10.1136/bcr-2015-213745

Cited by 24 publications

(36 citation statements)

References 5 publications

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“…This case was the first to show that UGH syndrome might occur despite intracapsular placement of a posteriorchamber IOL. Badakere et al [3] also described a case of UGH syndrome with a seemingly well-placed posteriorchamber IOL. Dilated gonioscopy was very helpful in that case, providing direct evidence of hyphema in the inferior capsular bag.…”

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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“…However, this complication is reported in eyes with pseudoexfoliation and excessive zonular laxity resulting in excess uveal–IOL contact,[ 6 ] deformed or damaged in-the-bag IOL with uveal-IOL contact causing pigment dispersion with elevated IOP. [ 7 8 9 ]…”

Section: Discussionmentioning

confidence: 99%

In-the-bag multifocal intraocular lens causing pigment dispersion and refractory secondary ocular hypertension

Senthil

Grover

2018

Indian J Ophthalmol

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Pigment dispersion and elevated intraocular pressure (IOP) with sulcus placed hydrophobic acrylic intraocular lenses (IOLs) are described and are rare with in-the-bag IOLs. We report a case of a young lady with elevated IOP and pigment dispersion in one eye following an uneventful phacoemulsification and multifocal IOL implantation. The eye had eccentric capsulorrhexis and localized capsular fibrosis with anterior displacement of the IOL optic, resulting in pigment dispersion. The uncontrolled IOP and continued pigment dispersion were managed with IOL exchange (three-piece IOL) followed by filtration surgery, which helped to resolve the condition successfully.

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“…Classically, it involves a single-piece acrylic IOL placed partially or completely in the ciliary sulcus. Recent UGHS cases have been reported while setting the intracapsular IOL with additional caveats, including capsular tear at the equator of the lens capsule,[10] pseudophacodonesis and anterior rotation of ciliary processes,[4] anterior bowing of the haptic related to IOL deformation during loading,[5] displaced haptic secondary to iridociliary cyst,[11] and reverse pupillary block. [23] We report a case involving a myopic UGHS patient during the intracapsular IOL setting with a large capsulorhexis, managed with IOL exchange and gonioscopy assisted transluminal trabeculotomy (GATT).…”

Section: Introductionmentioning

confidence: 99%

Large capsulorhexis related uveitis-glaucoma-hyphema syndrome managed by intraocular lens implant exchange and gonioscopy assisted transluminal trabeculotomy

Razeghinejad¹,

Havens²

2019

J Ophthalmic Vis Res

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Purpose: To report a case of uveitis-glaucoma-hyphema syndrome (UGHS) secondary to a large capsulorhexis with an intracaspular intraocular lens (IOL) managed with IOL exchange and gonioscopy assisted transluminal trabeculotomy (GATT). Case Report: A 73-year-old male patient presented with UGHS of the right eye in the setting of an intracapsular single-piece acrylic IOL with circumferential optic and partial haptics exposure due to a large capsulorhexis. In lieu of the patient's uncomplicated surgical history, subtle symptoms, and clinical findings, the diagnosis and referral was delayed until intraocular pressure reached a peak of 50 mmHg with recurrent anterior chamber cells. The patient underwent combined IOL exchange with placement of a 3-piece sulcus IOL and GATT, which finally resolved the UGHS. Conclusion: With respect to the increasing prevalence of intracapsular single-piece IOL implantation, it is important to recognize UGHS and thus fashion proper sized capsulorhexis to prevent this vision threatening complication. GATT may be considered to be one of the glaucoma surgeries combined with the IOL surgical procedures in UGHS.

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Uveitis-glaucoma-hyphaema syndrome with in-the-bag placement of intraocular lens

Cited by 24 publications

References 5 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

In-the-bag multifocal intraocular lens causing pigment dispersion and refractory secondary ocular hypertension

Large capsulorhexis related uveitis-glaucoma-hyphema syndrome managed by intraocular lens implant exchange and gonioscopy assisted transluminal trabeculotomy

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