Mechanisms for in-the-bag uveitis-glaucoma-hyphema syndrome.
Identifieur interne : 000774 ( PubMed/Corpus ); précédent : 000773; suivant : 000775Mechanisms for in-the-bag uveitis-glaucoma-hyphema syndrome.
Auteurs : Linda Zhang ; Christopher T. Hood ; Joshua P. Vrabec ; Alexis L. Cullen ; Elizabeth A. Parrish ; Sayoko E. MoroiSource :
- 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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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Mechanisms for in-the-bag uveitis-glaucoma-hyphema syndrome.</title><author><name sortKey="Zhang, Linda" sort="Zhang, Linda" uniqKey="Zhang L" first="Linda" last="Zhang">Linda Zhang</name><affiliation><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation></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><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation></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><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Cullen, Alexis L" sort="Cullen, Alexis L" uniqKey="Cullen A" first="Alexis L" last="Cullen">Alexis L. Cullen</name><affiliation><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Parrish, Elizabeth A" sort="Parrish, Elizabeth A" uniqKey="Parrish E" first="Elizabeth A" last="Parrish">Elizabeth A. Parrish</name><affiliation><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation></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><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></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="doi">10.1016/j.jcrs.2013.12.002</idno><idno type="RBID">pubmed:24417893</idno><idno type="pmid">24417893</idno><idno type="wicri:Area/PubMed/Corpus">000774</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Mechanisms for in-the-bag uveitis-glaucoma-hyphema syndrome.</title><author><name sortKey="Zhang, Linda" sort="Zhang, Linda" uniqKey="Zhang L" first="Linda" last="Zhang">Linda Zhang</name><affiliation><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation></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><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation></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><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Cullen, Alexis L" sort="Cullen, Alexis L" uniqKey="Cullen A" first="Alexis L" last="Cullen">Alexis L. Cullen</name><affiliation><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Parrish, Elizabeth A" sort="Parrish, Elizabeth A" uniqKey="Parrish E" first="Elizabeth A" last="Parrish">Elizabeth A. Parrish</name><affiliation><nlm:affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</nlm:affiliation></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><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></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><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24417893</PMID><DateCreated><Year>2014</Year><Month>03</Month><Day>03</Day></DateCreated><DateCompleted><Year>2014</Year><Month>08</Month><Day>13</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-4502</ISSN><JournalIssue CitedMedium="Internet"><Volume>40</Volume><Issue>3</Issue><PubDate><Year>2014</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Journal of cataract and refractive surgery</Title><ISOAbbreviation>J Cataract Refract Surg</ISOAbbreviation></Journal><ArticleTitle>Mechanisms for in-the-bag uveitis-glaucoma-hyphema syndrome.</ArticleTitle><Pagination><MedlinePgn>490-2</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jcrs.2013.12.002</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0886-3350(13)01515-0</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>Copyright © 2014 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Linda</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hood</LastName><ForeName>Christopher T</ForeName><Initials>CT</Initials><AffiliationInfo><Affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vrabec</LastName><ForeName>Joshua P</ForeName><Initials>JP</Initials><AffiliationInfo><Affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cullen</LastName><ForeName>Alexis L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Parrish</LastName><ForeName>Elizabeth A</ForeName><Initials>EA</Initials><AffiliationInfo><Affiliation>From the Department of Ophthalmology and Visual Sciences, W.K. Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moroi</LastName><ForeName>Sayoko E</ForeName><Initials>SE</Initials><AffiliationInfo><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.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>01</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Cataract Refract Surg</MedlineTA><NlmUniqueID>8604171</NlmUniqueID><ISSNLinking>0886-3350</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000869">Anterior Eye Segment</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005131">Eye Injuries</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005355">Fibrosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005902">Glaucoma, Open-Angle</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006988">Hyphema</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007429">Intraocular Pressure</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007498">Iris</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000293">injuries</QualifierName><QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007903">Lens Capsule, Crystalline</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000473">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019654">Lens Implantation, Intraocular</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D007910">Lenses, Intraocular</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000009">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D033401">Microscopy, Acoustic</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D011183">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014606">Uveitis, Anterior</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000736">ultrasonography</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>8</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>9</Month><Day>8</Day></PubMedPubDate><PubMedPubDate PubStatus="aheadofprint"><Year>2014</Year><Month>1</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>1</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>1</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>8</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S0886-3350(13)01515-0</ArticleId><ArticleId IdType="doi">10.1016/j.jcrs.2013.12.002</ArticleId><ArticleId IdType="pubmed">24417893</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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