Mechanisms for in-the-bag uveitis-glaucoma-hyphema syndrome.
Identifieur interne : 001052 ( Main/Curation ); précédent : 001051; suivant : 001053Mechanisms for in-the-bag uveitis-glaucoma-hyphema syndrome.
Auteurs : Linda Zhang [États-Unis] ; Christopher T. Hood [États-Unis] ; Joshua P. Vrabec [États-Unis] ; Alexis L. Cullen [États-Unis] ; Elizabeth A. Parrish [États-Unis] ; Sayoko E. Moroi [États-Unis]Source :
- Journal of cataract and refractive surgery [ 1873-4502 ] ; 2014.
English descriptors
- KwdEn :
- Aged, Anterior Eye Segment (ultrasonography), Eye Injuries (etiology), Eye Injuries (ultrasonography), Female, Fibrosis, Glaucoma, Open-Angle (etiology), Glaucoma, Open-Angle (ultrasonography), Humans, Hyphema (etiology), Hyphema (ultrasonography), Intraocular Pressure, Iris (injuries), Iris (ultrasonography), Lens Capsule, Crystalline (pathology), Lens Implantation, Intraocular, Lenses, Intraocular (adverse effects), Male, Microscopy, Acoustic, Postoperative Complications, Uveitis, Anterior (etiology), Uveitis, Anterior (ultrasonography).
- MESH :
- adverse effects : Lenses, Intraocular.
- etiology : Eye Injuries, Glaucoma, Open-Angle, Hyphema, Uveitis, Anterior.
- injuries : Iris.
- pathology : Lens Capsule, Crystalline.
- ultrasonography : Anterior Eye Segment, Eye Injuries, Glaucoma, Open-Angle, Hyphema, Iris, Uveitis, Anterior.
- Aged, Female, Fibrosis, Humans, Intraocular Pressure, Lens Implantation, Intraocular, Male, Microscopy, Acoustic, Postoperative Complications.
Abstract
We propose 2 mechanisms of uveitis-glaucoma-hyphema (UGH) syndrome in 2 patients with intracapsular or in-the-bag single-piece acrylic intraocular lenses (IOLs). In the first case, pseudophacodonesis secondary to zonular laxity from pseudoexfoliation syndrome caused chafing of the posterior iris by the square-edged haptic. In the second case, focal capsular fibrosis around the square-edged haptics combined with anteriorly rotated ciliary processes in plateau iris configuration caused points of chafing. Extensive capsular fibrosis of the haptic in both cases precluded IOL exchange. In the first case, a capsular tension ring redistributed zonular tension and reduced symptoms. In the second case, endoscopic cyclophotocoagulation relieved areas of chafing and resolved symptoms. In-the-bag square-edged haptics of single-piece acrylic IOLs are a potential source of iridociliary chafing in certain situations. The mechanisms observed here should be considered to promptly diagnose and treat UGH.
DOI: 10.1016/j.jcrs.2013.12.002
PubMed: 24417893
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Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Hood, Christopher T" sort="Hood, Christopher T" uniqKey="Hood C" first="Christopher T" last="Hood">Christopher T. Hood</name><affiliation wicri:level="2"><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Vrabec, Joshua P" sort="Vrabec, Joshua P" uniqKey="Vrabec J" first="Joshua P" last="Vrabec">Joshua P. Vrabec</name><affiliation wicri:level="2"><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Cullen, Alexis L" sort="Cullen, Alexis L" uniqKey="Cullen A" first="Alexis L" last="Cullen">Alexis L. 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Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Moroi, Sayoko E" sort="Moroi, Sayoko E" uniqKey="Moroi S" first="Sayoko E" last="Moroi">Sayoko E. Moroi</name><affiliation wicri:level="2"><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA. Electronic address: smoroi@med.umich.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan</wicri:regionArea><placeName><region type="state">Michigan</region></placeName></affiliation></author></analytic><series><title level="j">Journal of cataract and refractive surgery</title><idno type="eISSN">1873-4502</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Anterior Eye Segment (ultrasonography)</term><term>Eye Injuries (etiology)</term><term>Eye Injuries (ultrasonography)</term><term>Female</term><term>Fibrosis</term><term>Glaucoma, Open-Angle (etiology)</term><term>Glaucoma, Open-Angle (ultrasonography)</term><term>Humans</term><term>Hyphema (etiology)</term><term>Hyphema (ultrasonography)</term><term>Intraocular Pressure</term><term>Iris (injuries)</term><term>Iris (ultrasonography)</term><term>Lens Capsule, Crystalline (pathology)</term><term>Lens Implantation, Intraocular</term><term>Lenses, Intraocular (adverse effects)</term><term>Male</term><term>Microscopy, Acoustic</term><term>Postoperative Complications</term><term>Uveitis, Anterior (etiology)</term><term>Uveitis, Anterior (ultrasonography)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lenses, Intraocular</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Eye Injuries</term><term>Glaucoma, Open-Angle</term><term>Hyphema</term><term>Uveitis, Anterior</term></keywords><keywords scheme="MESH" qualifier="injuries" xml:lang="en"><term>Iris</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lens Capsule, Crystalline</term></keywords><keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en"><term>Anterior Eye Segment</term><term>Eye Injuries</term><term>Glaucoma, Open-Angle</term><term>Hyphema</term><term>Iris</term><term>Uveitis, Anterior</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Fibrosis</term><term>Humans</term><term>Intraocular Pressure</term><term>Lens Implantation, Intraocular</term><term>Male</term><term>Microscopy, Acoustic</term><term>Postoperative Complications</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We propose 2 mechanisms of uveitis-glaucoma-hyphema (UGH) syndrome in 2 patients with intracapsular or in-the-bag single-piece acrylic intraocular lenses (IOLs). In the first case, pseudophacodonesis secondary to zonular laxity from pseudoexfoliation syndrome caused chafing of the posterior iris by the square-edged haptic. In the second case, focal capsular fibrosis around the square-edged haptics combined with anteriorly rotated ciliary processes in plateau iris configuration caused points of chafing. Extensive capsular fibrosis of the haptic in both cases precluded IOL exchange. In the first case, a capsular tension ring redistributed zonular tension and reduced symptoms. In the second case, endoscopic cyclophotocoagulation relieved areas of chafing and resolved symptoms. In-the-bag square-edged haptics of single-piece acrylic IOLs are a potential source of iridociliary chafing in certain situations. The mechanisms observed here should be considered to promptly diagnose and treat UGH.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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