title: A Rare Manifestation of Uveitis-glaucoma-hyphema Syndrome.
abstract: OBJECTIVE
  To report a case of a patient who developed uveitis-glaucoma-hyphema (UGH) syndrome after an uneventful cataract surgery and to discuss risk factors, diagnostic challenges, management options, and clinical implications.
  
  
  BACKGROUND
  Uveitis-glaucoma-hyphema syndrome is a rare but potentially serious cataract surgery complication. Clinical manifestations include increased intraocular pressure (IOP), anterior chamber inflammation, and recurrent hyphema or microhyphema. Uveitis-glaucoma-hyphema Plus syndrome also includes accompanying vitreous hemorrhage. Although classically associated with rigid anterior chamber intraocular lenses (lOLs), cases of malpositioning and subluxated posterior chamber lOLs have also been described as possible triggers.
  
  
  METHODS
  We report a case of a 70-year-old Caucasian man who developed UGH Plus syndrome after an uneventful cataract surgery with an lOL implanted in the capsular bag. During postoperative follow-up, persistent intraocular inflammation, increased IOP, hyphema, and vitreous hemorrhage were consistent with this diagnosis. Slit-lamp examination demonstrated progressive localized iris atrophy, compatible with chafing of the posterior iris by the IOL haptic as the trigger for UGH syndrome. A pars plana vitrectomy was performed and a retropupillary intraocular lens was implanted. No further complications occurred during follow-up.
  
  
  CONCLUSIONS
  Given the increasing prevalence of single-piece lOLs implanted in the capsular bag, it is important to recognize UGH syndrome as a rare but potentially serious complication. How to cite this article: Sousa DC, Leal I, Faria MY, Pinto LA. A Rare Manifestation of Uveitis-glaucoma-hyphema Syndrome. J Curr Glaucoma Pract 2016;10(2):76-78.
authors.affiliation: Resident, Department of Ophthalmology, Hospital de Santa Maria, Lisbon Academic Medical Center; Centro de Estudos Ciências da Visão Faculty of Medicine University of Lisbon, Lisboa, Portugal.
authors.forename: David Cordeiro
authors.initials: DC
authors.lastname: Sousa
authors.affiliation: Resident, Department of Ophthalmology, Hospital de Santa Maria, Lisbon Academic Medical Center; Centro de Estudos Ciências da Visão Faculty of Medicine University of Lisbon, Lisboa, Portugal.
authors.forename: Inês
authors.initials: I
authors.lastname: Leal
authors.affiliation: Resident, Department of Ophthalmology, Hospital de Santa Maria, Lisbon Academic Medical Center; Centro de Estudos Ciências da Visão Faculty of Medicine University of Lisbon, Lisboa, Portugal.
authors.forename: Mun Yueh
authors.initials: MY
authors.lastname: Faria
authors.affiliation: Assistant ProfessorDepartment of Ophthalmology, Hospital de Santa Maria, Lisbon Academic Medical Center; Centro de Estudos Ciências da Visão Faculty of Medicine University of Lisbon, Lisboa, Portugal.
authors.forename: Luís Abegão
authors.initials: LA
authors.lastname: Pinto
keywords: Cataract surgery; In-the-bag intraocular lens spontaneous dislocation; Uveitis-glaucoma-hyphema syndrome.