Management of Uveitis-Glaucoma-Hyphema Syndrome Caused by Soemmering Ring Cataract: Case Report and Literature Review
We describe a rare case of Soemmering’s ring-induced uveitis-glaucoma-hyphema (UGH) syndrome, caused by an undisplaced, in-the-bag intraocular lens (IOL) 16 years after implantation. The presenting symptoms were recurrent episodes of transient monocular vision loss, which prompted extensive unremark...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2023-12-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://beta.karger.com/Article/FullText/534105 |
| _version_ | 1797357625058263040 |
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| author | Charles-David Dubois Po Hsiang (Shawn) Yuan Georges M. Durr |
| author_facet | Charles-David Dubois Po Hsiang (Shawn) Yuan Georges M. Durr |
| author_sort | Charles-David Dubois |
| collection | DOAJ |
| description | We describe a rare case of Soemmering’s ring-induced uveitis-glaucoma-hyphema (UGH) syndrome, caused by an undisplaced, in-the-bag intraocular lens (IOL) 16 years after implantation. The presenting symptoms were recurrent episodes of transient monocular vision loss, which prompted extensive unremarkable investigations. Ultrasound biomicroscopy (UBM) eventually revealed an enlarging Soemmering’s ring contacting the posterior iris and causing UGH syndrome. This is a unique case because the IOL haptics remained in the bag. Anterior vitrectomy, Soemmering’s ring extraction, IOL exchange to a 3-piece IOL, and implantation of a trabecular meshwork bypass microstent were performed. IOP control and both functional and structural stability were achieved long term. Soemmering’s ring-induced UGH syndrome should be on the differential of a patient with previous cataract surgery and elevated IOP complaining of visual disturbances. Early diagnosis with UBM and surgical intervention may provide optimal outcomes. |
| first_indexed | 2024-03-08T14:47:55Z |
| format | Article |
| id | doaj.art-58d7d155f41a496a94e4ec5a508aada7 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-03-08T14:47:55Z |
| publishDate | 2023-12-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-58d7d155f41a496a94e4ec5a508aada72024-01-11T08:00:57ZengKarger PublishersCase Reports in Ophthalmology1663-26992023-12-0114169870510.1159/000534105534105Management of Uveitis-Glaucoma-Hyphema Syndrome Caused by Soemmering Ring Cataract: Case Report and Literature ReviewCharles-David Dubois0Po Hsiang (Shawn) Yuan1Georges M. Durr2Faculty of Medicine, Université de Montréal, Montreal, QC, CanadaDepartment of Ophthalmology, Centre Hospitalier Universitaire de Montréal (CHUM), Montreal, QC, CanadaDepartment of Ophthalmology, Centre Hospitalier Universitaire de Montréal (CHUM), Montreal, QC, CanadaWe describe a rare case of Soemmering’s ring-induced uveitis-glaucoma-hyphema (UGH) syndrome, caused by an undisplaced, in-the-bag intraocular lens (IOL) 16 years after implantation. The presenting symptoms were recurrent episodes of transient monocular vision loss, which prompted extensive unremarkable investigations. Ultrasound biomicroscopy (UBM) eventually revealed an enlarging Soemmering’s ring contacting the posterior iris and causing UGH syndrome. This is a unique case because the IOL haptics remained in the bag. Anterior vitrectomy, Soemmering’s ring extraction, IOL exchange to a 3-piece IOL, and implantation of a trabecular meshwork bypass microstent were performed. IOP control and both functional and structural stability were achieved long term. Soemmering’s ring-induced UGH syndrome should be on the differential of a patient with previous cataract surgery and elevated IOP complaining of visual disturbances. Early diagnosis with UBM and surgical intervention may provide optimal outcomes.https://beta.karger.com/Article/FullText/534105uveitisglaucomahyphemasoemmering’s ringiol complicationscase report |
| spellingShingle | Charles-David Dubois Po Hsiang (Shawn) Yuan Georges M. Durr Management of Uveitis-Glaucoma-Hyphema Syndrome Caused by Soemmering Ring Cataract: Case Report and Literature Review Case Reports in Ophthalmology uveitis glaucoma hyphema soemmering’s ring iol complications case report |
| title | Management of Uveitis-Glaucoma-Hyphema Syndrome Caused by Soemmering Ring Cataract: Case Report and Literature Review |
| title_full | Management of Uveitis-Glaucoma-Hyphema Syndrome Caused by Soemmering Ring Cataract: Case Report and Literature Review |
| title_fullStr | Management of Uveitis-Glaucoma-Hyphema Syndrome Caused by Soemmering Ring Cataract: Case Report and Literature Review |
| title_full_unstemmed | Management of Uveitis-Glaucoma-Hyphema Syndrome Caused by Soemmering Ring Cataract: Case Report and Literature Review |
| title_short | Management of Uveitis-Glaucoma-Hyphema Syndrome Caused by Soemmering Ring Cataract: Case Report and Literature Review |
| title_sort | management of uveitis glaucoma hyphema syndrome caused by soemmering ring cataract case report and literature review |
| topic | uveitis glaucoma hyphema soemmering’s ring iol complications case report |
| url | https://beta.karger.com/Article/FullText/534105 |
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