Journal of Ophthalmic and Vision Research

CASE REPORT
Year
: 2019  |  Volume : 14  |  Issue : 2  |  Page : 215--218

Large capsulorhexis related uveitis-glaucoma-hyphema syndrome managed by intraocular lens implant exchange and gonioscopy assisted transluminal trabeculotomy


Mohammad Reza Razeghinejad1, Shane J Havens2 
1 Glaucoma Service, Wills Eye Hospital, Philadelphia, PA, USA; Poostchi Eye Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2 Truhlsen Eye Institute, University of Nebraska Medical Center, Omaha, NE, USA

Correspondence Address:
Mohammad Reza Razeghinejad
840 Walnut Street, Suite 1140, Wills Eye Hospital, Philadelphia, PA 19107

Purpose: To report a case of uveitis-glaucoma-hyphema syndrome (UGHS) secondary to a large capsulorhexis with an intracaspular intraocular lens (IOL) managed with IOL exchange and gonioscopy assisted transluminal trabeculotomy (GATT). Case Report: A 73-year-old male patient presented with UGHS of the right eye in the setting of an intracapsular single-piece acrylic IOL with circumferential optic and partial haptics exposure due to a large capsulorhexis. In lieu of the patient's uncomplicated surgical history, subtle symptoms, and clinical findings, the diagnosis and referral was delayed until intraocular pressure reached a peak of 50 mmHg with recurrent anterior chamber cells. The patient underwent combined IOL exchange with placement of a 3-piece sulcus IOL and GATT, which finally resolved the UGHS. Conclusion: With respect to the increasing prevalence of intracapsular single-piece IOL implantation, it is important to recognize UGHS and thus fashion proper sized capsulorhexis to prevent this vision threatening complication. GATT may be considered to be one of the glaucoma surgeries combined with the IOL surgical procedures in UGHS.


How to cite this article:
Razeghinejad MR, Havens SJ. Large capsulorhexis related uveitis-glaucoma-hyphema syndrome managed by intraocular lens implant exchange and gonioscopy assisted transluminal trabeculotomy.J Ophthalmic Vis Res 2019;14:215-218


How to cite this URL:
Razeghinejad MR, Havens SJ. Large capsulorhexis related uveitis-glaucoma-hyphema syndrome managed by intraocular lens implant exchange and gonioscopy assisted transluminal trabeculotomy. J Ophthalmic Vis Res [serial online] 2019 [cited 2020 Feb 22 ];14:215-218
Available from: http://www.jovr.org/article.asp?issn=2008-322X;year=2019;volume=14;issue=2;spage=215;epage=218;aulast=Razeghinejad;type=0