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Revista de la Facultad de Medicina Humana
Print version ISSN 1814-5469On-line version ISSN 2308-0531
Abstract
MAMANI MAQUERA, Diego José; PANTOJA DAVALOS, Nahuel and CATACORA CONTRERAS, Milthon. Uveitis - Glaucoma - Hyphema syndrome: Clinical case. Rev. Fac. Med. Hum. [online]. 2023, vol.23, n.3, pp.167-171. Epub Sep 21, 2023. ISSN 1814-5469. http://dx.doi.org/10.25176/rfmh.v23i3.5699.
Introduction:
Uveitis-glaucoma-hyphema syndrome (UGH) is a rare complication of cataract surgery, due to mechanical chafing exerted by an intraocular lens (IOL) on the iris.
Clinical case:
A 64-year-old man with a history of cataract surgery, who presented decreased visual acuity and pain in the right eye. The ophthalmological examination revealed signs of anterior uveitis, elevated intraocular pressure (IOP), microhyphema, and a single-piece foldable IOL in the sulcus that caused a mechanical chafing with the posterior face of the iris. The medical treatment was insufficient; for this reason, a folding simple-piece IOL explant surgery was performed and replaced by a three-piece IOL. Postoperative evolution was favorable.
Conclusion:
Should be suspected this complication in patients with a history of cataract surgery, especially in cases in which the IOL is in single-piece and has been implanted outside the capsular bag.
Keywords : Uveitis-glaucoma-hyphema syndrome; intraocular lens; sulcus; capsular bag.