Occult cause of uveitis-glaucoma-hyphema syndrome diagnosed during treatment with endocyclophotocoagulation (ECP)
Purpose: To describe uveitis-glaucoma-hyphema (UGH) syndrome secondary to a posterior chamber intraocular lens (PCIOL) within the capsular bag in which pathogenic changes to the ciliary body were observed and treated with endocyclophotocoagulation (ECP). Observations: An 85-year-old woman who had ca...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993622002833 |
| _version_ | 1817980415542034432 |
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| author | Amol A. Sura Amit K. Reddy Kelly Babic Murtaza Saifee Nisha R. Acharya John A. Gonzales Ying Han Thuy A. Doan |
| author_facet | Amol A. Sura Amit K. Reddy Kelly Babic Murtaza Saifee Nisha R. Acharya John A. Gonzales Ying Han Thuy A. Doan |
| author_sort | Amol A. Sura |
| collection | DOAJ |
| description | Purpose: To describe uveitis-glaucoma-hyphema (UGH) syndrome secondary to a posterior chamber intraocular lens (PCIOL) within the capsular bag in which pathogenic changes to the ciliary body were observed and treated with endocyclophotocoagulation (ECP). Observations: An 85-year-old woman who had cataract surgery in her right eye four years ago presented with recurrent, unilateral, open-angle, hypertensive uveitis in her right eye. Her presentations were characterized by decreased vision, elevated intraocular pressure, corneal edema, a mixed anterior chamber reaction, and pigmented anterior vitreous cells. She had a frank vitreous hemorrhage during two episodes. Ultrasound biomicroscopy revealed a dense Soemmerring ring in her right eye without evidence of PCIOL-iris or PCIOL-ciliary body chafe. Subsequent ECP revealed whitened and atrophic ciliary processes adjacent to a tilted haptic within the capsular bag, consistent with chronic PCIOL-ciliary body chafe. ECP was applied to the affected ciliary processes, which successfully eliminated recurrences. Conclusions and importance: UGH can rarely occur due to an PCIOL within the capsular bag. In cases where ultrasound biomicroscopy (UBM) does not show abnormalities and clinical suspicion remains high, ECP can be a useful adjunct to observe and treat abnormalities of the ciliary body. |
| first_indexed | 2024-04-13T22:53:38Z |
| format | Article |
| id | doaj.art-0533ce24e6d44eba8886f5e7efb3f932 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-04-13T22:53:38Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-0533ce24e6d44eba8886f5e7efb3f9322022-12-22T02:26:05ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362022-06-0126101537Occult cause of uveitis-glaucoma-hyphema syndrome diagnosed during treatment with endocyclophotocoagulation (ECP)Amol A. Sura0Amit K. Reddy1Kelly Babic2Murtaza Saifee3Nisha R. Acharya4John A. Gonzales5Ying Han6Thuy A. Doan7Francis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, USA; Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA; Corresponding author. Francis I. Proctor Foundation, University of California San Francisco, 490 Illinois Street, Second Floor, San Francisco, CA, 94158, USA.Francis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, USA; Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USADepartment of Ophthalmology, University of California San Francisco, San Francisco, CA, USADepartment of Ophthalmology, University of California San Francisco, San Francisco, CA, USAFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, USA; Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USAFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, USA; Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USADepartment of Ophthalmology, University of California San Francisco, San Francisco, CA, USAFrancis I. Proctor Foundation, University of California San Francisco, San Francisco, CA, USA; Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USAPurpose: To describe uveitis-glaucoma-hyphema (UGH) syndrome secondary to a posterior chamber intraocular lens (PCIOL) within the capsular bag in which pathogenic changes to the ciliary body were observed and treated with endocyclophotocoagulation (ECP). Observations: An 85-year-old woman who had cataract surgery in her right eye four years ago presented with recurrent, unilateral, open-angle, hypertensive uveitis in her right eye. Her presentations were characterized by decreased vision, elevated intraocular pressure, corneal edema, a mixed anterior chamber reaction, and pigmented anterior vitreous cells. She had a frank vitreous hemorrhage during two episodes. Ultrasound biomicroscopy revealed a dense Soemmerring ring in her right eye without evidence of PCIOL-iris or PCIOL-ciliary body chafe. Subsequent ECP revealed whitened and atrophic ciliary processes adjacent to a tilted haptic within the capsular bag, consistent with chronic PCIOL-ciliary body chafe. ECP was applied to the affected ciliary processes, which successfully eliminated recurrences. Conclusions and importance: UGH can rarely occur due to an PCIOL within the capsular bag. In cases where ultrasound biomicroscopy (UBM) does not show abnormalities and clinical suspicion remains high, ECP can be a useful adjunct to observe and treat abnormalities of the ciliary body.http://www.sciencedirect.com/science/article/pii/S2451993622002833UGHHypertensive uveitisUveitisHyphemaVitreous hemorrhageEndocyclophotocoagulation |
| spellingShingle | Amol A. Sura Amit K. Reddy Kelly Babic Murtaza Saifee Nisha R. Acharya John A. Gonzales Ying Han Thuy A. Doan Occult cause of uveitis-glaucoma-hyphema syndrome diagnosed during treatment with endocyclophotocoagulation (ECP) American Journal of Ophthalmology Case Reports UGH Hypertensive uveitis Uveitis Hyphema Vitreous hemorrhage Endocyclophotocoagulation |
| title | Occult cause of uveitis-glaucoma-hyphema syndrome diagnosed during treatment with endocyclophotocoagulation (ECP) |
| title_full | Occult cause of uveitis-glaucoma-hyphema syndrome diagnosed during treatment with endocyclophotocoagulation (ECP) |
| title_fullStr | Occult cause of uveitis-glaucoma-hyphema syndrome diagnosed during treatment with endocyclophotocoagulation (ECP) |
| title_full_unstemmed | Occult cause of uveitis-glaucoma-hyphema syndrome diagnosed during treatment with endocyclophotocoagulation (ECP) |
| title_short | Occult cause of uveitis-glaucoma-hyphema syndrome diagnosed during treatment with endocyclophotocoagulation (ECP) |
| title_sort | occult cause of uveitis glaucoma hyphema syndrome diagnosed during treatment with endocyclophotocoagulation ecp |
| topic | UGH Hypertensive uveitis Uveitis Hyphema Vitreous hemorrhage Endocyclophotocoagulation |
| url | http://www.sciencedirect.com/science/article/pii/S2451993622002833 |
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