Novel surgical management of uveitis–glaucoma–hyphema syndrome

Session Details

Session Title: Cataract Surgery: Special Cases

Session Date/Time: Tuesday 17/09/2019 | 08:30-10:30

Paper Time: 10:06

Venue: Free Paper Forum: Podium 2

First Author: : M.Duchene FRANCE

Co Author(s): :    J. Gueudry   M. Muraine                          

Abstract Details

Purpose:

Uveitis-glaucoma-hyphema (UGH) syndrome is a rare, but potentially severe cataract surgery complication and is often treated by removing the causal intraocular lens (IOL). We report a series of seventeen cases of UGH syndrome in patients with different position of the IOL who have undergone a scleral fixation of the same IOL.

Setting:

Retrospective case serie conducted in Rouen university hospital, France

Methods:

It was a series of patients with UGH syndrome induced by a posterior chamber IOL who underwent a surgical treatment. Visual acuity, intraocular pressure, number of glaucoma medications and IOL status were recorded by the same and 6 months after the surgical treatment.

Results:

The cases series presents 17 patients with UGH syndrome caused by iris fixated IOL for 9 cases, by scleral fixated IOL for 2 cases and by IOL in the bag for 6 cases. Eight cases had a single-piece acrylic IOL and 9 patients had a 3-piece acrylic IOL. Scleral fixated IOL was performed for seven iris-fixated IOL and 2 cases with iris-fixated IOL were explanted. The 2 cases with a scleral-fixated IOL were explanted. Concerning the IOL in the bag, 2 IOL were explanted, 2 IOL were positioned in the bag,1 IOL was scleral-fixated and 1 iris-fixated.

Conclusions:

UGH syndrome can be induced by all type of IOL implantation. Scleral fixation of the same IOL can be an alternative safe surgery to the explantation which is the reference method. Symptoms of UGH did not recur due to increased stability of the IOL.

Financial Disclosure:

None