title: An unusual case of uveitis-glaucoma-hyphema syndrome.
abstract: OBJECTIVE
  To report a case of uveitis-glaucoma-hyphema (UGH) syndrome in which anterior chamber paracentesis led to the diagnosis of sickle cell trait.
  
  
  METHODS
  Observational case report.
  
  
  METHODS
  A 43-year-old Cuban pseudophakic male was seen multiple times over a 3-year period complaining of floaters and blurry vision in his left eye. He was noted to have an inferotemporally displaced posterior chamber intraocular lens and recurrent microhyphemas with elevated intraocular pressure (IOP) readings between 29 and 46 mm Hg with each episode. He was diagnosed with UGH syndrome. Posterior chamber intraocular lens explantation and anterior chamber washout was performed. The aqueous fluid was submitted for cytopathologic examination.
  
  
  RESULTS
  Postoperatively, the patient's symptoms resolved and he had no further hemorrhages or elevated IOP readings. Cytopathology of the aspirate revealed sickled red blood cells.
  
  
  CONCLUSIONS
  Microscopic examination of aqueous fluid can be a valuable tool in diagnosing ophthalmic manifestations of systemic disease.
authors.affiliation: Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
authors.forename: Atul
authors.initials: A
authors.lastname: Sharma
authors.forename: Michael S
authors.initials: MS
authors.lastname: Ibarra
authors.forename: Jody R
authors.initials: JR
authors.lastname: Piltz-Seymour
authors.forename: Nasreen A
authors.initials: NA
authors.lastname: Syed
mesh_terms: D000328:Adult; D001082:Aqueous Humor / Q000166:cytology*; D005901:Glaucoma / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D006988:Hyphema / Q000175:diagnosis* / Q000209:etiology; D007429:Intraocular Pressure; D007910:Lenses, Intraocular / Q000009:adverse effects; D008297:Male; D019591:Pseudophakia / Q000150:complications; D012805:Sickle Cell Trait / Q000175:diagnosis*; D013577:Syndrome; D014605:Uveitis / Q000175:diagnosis* / Q000209:etiology