Recurrent microhyphema despite intracapsular fixation of a posterior chamber intraocular lens.
A 61-year-old woman experienced multiple episodes of transient visual blurring in her pseudophakic eye, each of which lasted about 1 hour. Repeat examination during a symptomatic episode revealed anterior chamber red blood cells consistent with a microhyphema in the pseudophakic eye despite intracapsular fixation of a posterior chamber intraocular lens (PC IOL). Ultrasound biomicroscopy confirmed intracapsular fixation of the IOL haptics and revealed proximity of the edge of the IOL optic to the inferior pupillary margin in the region of an iridociliary body cyst. Uveitis-glaucoma-hyphema syndrome may occur despite intracapsular fixation of a PC IOL.
Foroozan
Rod
R
Neuro-Ophthalmology Service, The Cullen Eye Institute, Baylor College of Medicine, Houston, Texas 77030, USA.
Tabas
Janine G
JG
Moster
Mark L
ML
D000869:Anterior Eye Segment / Q000000981:diagnostic imaging; D002924:Ciliary Body / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D006988:Hyphema / Q000209:etiology*; D007498:Iris / Q000000981:diagnostic imaging; D007903:Lens Capsule, Crystalline / Q000000981:diagnostic imaging / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007910:Lenses, Intraocular; D008875:Middle Aged; D019591:Pseudophakia / Q000150:complications; D012008:Recurrence; D014463:Ultrasonography; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity