Posters

Secondary IOL glaucoma presentations

Poster Details

First Author: F.March de Ribot SPAIN

Co Author(s):    A. March de Ribot   A. Verdugo   T. Torrent   J. Tarrus   F. Escalada        

Abstract Details

Purpose:

To present clinical features in uveitis-glaucoma-hyphema syndrome in different scenarios: Iris-claw IOL, Anterior chamber IOL, 3 pieces displaced IOL or 1 piece displaced IOL.

Setting:

University Hospital, Ophthalmology Service, Anterior Segment Unit and Retina Unit

Methods:

Case 1: Patient with spontaneous recurrent hyphema. Background: Post-traumatic surgery with iris-claw IOL 30 years ago. Exploration: IOL instability, iris atrophy, blood cells in the anterior segment and vitreous hemorrhage. Treatment: removal of IOL and new IOL.

Results:

IOL relocation and medical treatment were required in these cases being able to prevent other attacks. Case 4: Patient with recurrent hyphema related with physical effort. Background: Post-traumatic surgery with three-piece IOL 15 years ago. Exploration: IOL of three pieces with optics and one haptic in AC, iris atrophy and pigment dispersion in the trabecular meshwork. Case 5: IOL of three pieces in the sulcus, with an incorrect orientation, inverted, haptic in the counter-clockwise direction. Treatment: IOL reposition.

Conclusions:

Uveitis-Glaucoma-Hyphema syndrome (UGH) is a rare complication caused by intraocular irritation of intraocular lenses (IOL) that leads to transillumination defects of the iris and pigment dispersion, to micro hyphema and hyphemas with elevated intraocular pressure ( IOP) and damage to the optic nerve. The most common cause is the rubbing of the anterior chamber lenses, but it can occur from any pseudophakic lens. The incidence of UGH has decreased due to new IOLs, the surgical techniques, and the increase of the posterior chamber IOLs. One-piece acrylic IOLs placed in the sulcus tend to have a high rate of UGH complications.

Financial Disclosure:

None