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Occult Uveitis-Glaucoma-Hyphema Syndrome Caused by PCIOL with Peripheral Capsular Tear.
Dossantos, Jason; Bade, Yusuf; Halawa, Omar; Sabharwal, Jasdeep; An, Jella.
Afiliación
  • Dossantos J; Department of Ophthalmology, George Washington University School of Medicine and Health Sciences, District of Columbia, Washington, DC, USA.
  • Bade Y; Wilmer Eye institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Halawa O; Department of Ophthalmology, George Washington University School of Medicine and Health Sciences, District of Columbia, Washington, DC, USA.
  • Sabharwal J; Wilmer Eye institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • An J; Wilmer Eye institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Case Rep Ophthalmol ; 15(1): 383-387, 2024.
Article en En | MEDLINE | ID: mdl-38645933
ABSTRACT

Introduction:

Uveitis-glaucoma-hyphema (UGH) syndrome is an infrequent but severe complication following intraocular lens implantation, characterized by anterior chamber inflammation and elevated intraocular pressure (IOP). This report presents a rare case of late-onset UGH syndrome induced by a well-positioned 1-piece posterior capsular intraocular lens (PCIOL) with a bulb of the haptics extruding through a peripheral capsular tear in a 90-year-old female, 17 years post-cataract surgery. Case Presentation The patient presented with persistent blurred vision, recurrent anterior uveitis, and uncontrolled IOP despite medical therapy. Extensive evaluation, including ultrasound biomicroscopy, failed to identify the underlying cause, necessitating surgical intervention to control IOP. During concurrent goniotomy and canaloplasty, a PCIOL haptics was discovered protruding through a peripheral capsular tear, establishing the diagnosis. Following PCIOL-haptic amputation and goniotomy and canaloplasty, the patient experienced significant improvement in symptoms and IOP control, with complete resolution of UGH syndrome.

Conclusion:

This case highlights the necessity of considering atypical causes in persistent postoperative uveitis and IOP elevation and emphasizes the role of surgical intervention in managing complex cases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Case Rep Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Case Rep Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza