Uveitis-Glaucoma-Hyphema Syndrome: Clinical Features and Differential Diagnosis

Accorinti, Massimo; Saturno, Maria Carmela; Paroli, Maria Pia; Geronimo, Daniele De; Gilardi, Marta

doi:10.1080/09273948.2021.1881563

Cited by 8 publications

(6 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…UGH syndrome generally develops over a time course, varying from weeks to several years postoperatively and its management involves an approach corresponding to the severity, frequency of the signs and symptoms, lens type, position, and duration since primary surgery was done [6][7][8].…”

Section: Discussionmentioning

confidence: 99%

“…Factors such as irregular implant placement, such as IOLs implanted in the anterior chamber, inappropriate implant design, such as square-edged IOL, or improper surgical technique, like implanting single-piece IOL in the sulcus, contribute to the incidence of UGH syndrome [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…UGH syndrome generally develops over a time course, varying from weeks to several years postoperatively [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Alshehri¹,

Beshri²,

Bamefleh³

2023

Cureus

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Alshehri¹,

Beshri²,

Bamefleh³

2023

Cureus

View full text Add to dashboard Cite

show abstract

“…La presión intraocular (PIO) puede elevarse después del inicio de la enfermedad o de algunas recurrencias. Los ataques recurrentes de PIO elevada pueden resultar en el daño (1)(2)(3) glaucomatoso del nervio óptico .…”

Section: Introductionunclassified

Uveitis - Glaucoma - Hyphema Syndrome: Clinical Case

Mamani Maquera,

Pantoja Dávalos,

Catacora Contreras

2023

RFMH

View full text Add to dashboard Cite

Introduction: Uveitis-glaucoma-hyphema syndrome (UGH) is a rare complication of cataract surgery, due to mechanical chafing exerted by an intraocular lens (IOL) on the iris. Clinical case: A 64-year-old man with a history of cataract surgery, who presented decreased visual acuity and pain in the right eye. The ophthalmological examination revealed signs of anterior uveitis, elevated intraocular pressure (IOP), microhyphema, and a single-piece foldable IOL in the sulcus that caused a mechanical chafing with the posterior face of the iris. The medical treatment was insufficient; for this reason, a folding simple-piece IOL explant surgery was performed and replaced by a three-piece IOL. Postoperative evolution was favorable. Conclusion: Should be suspected this complication in patients with a history of cataract surgery, especially in cases in which the IOL is in single-piece and has been implanted outside the capsular bag.

show abstract

“…[1][2][3][4][5] In a series of 9 patients with UGH syndrome, the most common symptoms experienced by patients were blurry vision and floaters (100%), followed by reduced visual acuity (90%), hyperemia (55%), and pain and photophobia (44%). 6 This may manifest as a wide range of clinical pictures, including simple iris transillumination defects, pigmentary dispersion, uveitis, microhyphema or hyphema, elevated intraocular pressure (IOP), vitreous hemorrhage, and cystoid macular edema. [1][2][3][4][7][8][9][10] Elevated IOP can lead to glaucomatous optic neuropathy.…”

mentioning

confidence: 99%

Endoscopic Visualization for Atypical Uveitis Glaucoma Hyphema Syndrome Management

Francis

Dentone

Heilweil

et al. 2022

Journal of Glaucoma

View full text Add to dashboard Cite

We discuss how ophthalmic endoscopy was used in the management of 6 cases with atypical uveitis glaucoma hyphema syndrome. For case 1, the endoscope was used to remove a retained haptic foreign body after an intraocular lens (IOL) exchange with an iris-sutured IOL for a complete capsular bag-IOL complex dislocation. In case 2, the endoscope was key in identifying the presence and location of vascular lesions at the site of previous pars plana sclerotomies. In case 3, the endoscope enabled visualization of a large segmental Soemmering’s Ring pushing a 3-piece IOL haptic into the posterior iris. For case 4, the endoscope allowed viewing of the sharp edge of the optic where the haptic of a one-piece lens had been amputated, and the sharp edge of the cut optic was anteriorly oriented and continuing to rub the posterior iris. In case 5, the endoscope confirmed the presence of 1 haptic of a 1-piece lens out of the capsular bag and in the sulcus space. Also, it showed that the capsular bag had inadequate zonular support to attempt repositioning the haptic into the bag. In case 6, the endoscope was helpful in identifying a 1-piece plate haptic IOL in the sulcus, with synechiae and anterior location causing iris bulging inferiorly.

show abstract

Uveitis-Glaucoma-Hyphema Syndrome: Clinical Features and Differential Diagnosis

Cited by 8 publications

References 21 publications

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

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

Uveitis - Glaucoma - Hyphema Syndrome: Clinical Case

Endoscopic Visualization for Atypical Uveitis Glaucoma Hyphema Syndrome Management

Contact Info

Product

Resources

About