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Fatma F. Shakarchi, MD, MSc; Pedro Tetelbom, MD; and Sami Uwaydat, MD, FASRS
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Uveitis-glaucoma-hyphema (UGH) syndrome can result from sulcus placement of an IOL and is typically managed with IOL repositioning or exchange. In this video, Fatma F. Shakarchi, MD, MSc; Pedro Tetelbom, MD; and Sami Uwaydat, MD, FASRS, present a case of an 81-year-old man with pseudophakia in both eyes, monovision in the right eye, and a history of pars plana vitrectomy for vitreous hemorrhage in the same eye. He presented with recurrent hyphema and elevated IOP for over a year, with visual acuity of hand motion and IOP of 34 mm Hg OD. Evaluation revealed UGH syndrome due to one haptic of a one-piece acrylic IOL positioned in the sulcus. Surgeons performed haptic amputation without IOL exchange or repositioning. Postoperatively, the patient’s VA improved to 20/20 (near), the IOL remained well-centered, and there was no recurrence of hyphema or vitreous hemorrhage for over 1 year.
Posted: 7/07/2025
Fatma F. Shakarchi, MD, MSc; Pedro Tetelbom, MD; and Sami Uwaydat, MD, FASRS
Uveitis-glaucoma-hyphema (UGH) syndrome can result from sulcus placement of an IOL and is typically managed with IOL repositioning or exchange. In this video, Fatma F. Shakarchi, MD, MSc; Pedro Tetelbom, MD; and Sami Uwaydat, MD, FASRS, present a case of an 81-year-old man with pseudophakia in both eyes, monovision in the right eye, and a history of pars plana vitrectomy for vitreous hemorrhage in the same eye. He presented with recurrent hyphema and elevated IOP for over a year, with visual acuity of hand motion and IOP of 34 mm Hg OD. Evaluation revealed UGH syndrome due to one haptic of a one-piece acrylic IOL positioned in the sulcus. Surgeons performed haptic amputation without IOL exchange or repositioning. Postoperatively, the patient’s VA improved to 20/20 (near), the IOL remained well-centered, and there was no recurrence of hyphema or vitreous hemorrhage for over 1 year.
Posted: 7/07/2025
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