Incomplete posterior U.G.H. syndrome--different iatrogenic entity?
U.G.H. syndrome is a known complication of IOL implantation associated with the use of anterior and rarely, posterior chamber intraocular lenses. It is due to mechanical excoriation of the angle or iris by the haptics or optic of an IOL and consists of uveitis, glaucoma and hyphema (U.G.H.). The advised therapeutic approach is explantation of the IOL. Following implantation of a posterior chamber IOL, three patients presented with bleeding into the posterior chamber, one associated with glaucoma. No patient had signs of uveitis. We decided to address the symptoms and not to explant the IOL. We believe that this constitutes a variant of the 'classical' U.G.H. syndrome, namely an incomplete posterior U.G.H. (I.P.U.G.H.) syndrome, in which explanation of the I.O.L. is not compulsory.
Berger
R R
RR
Boksburg-Benoni Hospital, South Africa.
Kenyeres
A M
AM
Vlok
A N
AN
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction; D005260:Female; D005901:Glaucoma / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007049:Iatrogenic Disease; D007429:Intraocular Pressure; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D013577:Syndrome; D014792:Visual Acuity; D014823:Vitreous Hemorrhage / Q000209:etiology* / Q000473:pathology