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J GlaucomaJune 20240 citations

Uveitis-Glaucoma-Hyphema Syndrome From Subtle Malposition of a Hydrus Microstent.

Polski Ashley, Long Theresa, Stagg Brian C, Wirostko Barbara


AI Summary

A Hydrus microstent subtly malpositioned, causing UGH syndrome requiring removal. This highlights microstent malposition as a UGH cause, detectable by imaging, guiding clinical management.

Abstract

Uveitis-glaucoma-hyphema (UGH) syndrome is a rare condition characterized by intraocular inflammation, elevated intraocular pressure, and recurrent hyphema. Although UGH syndrome is typically caused by chafing between an intraocular lens and the iris or ciliary body, microinvasive glaucoma devices are becoming increasingly recognized as potential causes of recurrent intraocular inflammation. Herein, we discuss a case of UGH syndrome due to the subtle malposition of a Hydrus microstent that ultimately required surgical removal to manage. This represents the first case of Hydrus-related UGH syndrome to include high-quality anterior segment imaging, which led us to suspect Hydrus-iris contact and supported the decision to proceed with microstent explantation.


MeSH Terms

HumansDevice RemovalGlaucomaGlaucoma Drainage ImplantsHyphemaIntraocular PressureStentsSyndromeUveitis

Key Concepts5

A case of Uveitis-Glaucoma-Hyphema (UGH) syndrome was observed due to the subtle malposition of a Hydrus microstent, which ultimately required surgical removal to manage.

TreatmentCase seriesCase Reportn=1 patientCh23

High-quality anterior segment imaging in a case of Hydrus-related Uveitis-Glaucoma-Hyphema (UGH) syndrome led to the suspicion of Hydrus-iris contact and supported the decision to proceed with microstent explantation.

DiagnosisCase seriesCase Reportn=1 patientCh4Ch23

Uveitis-glaucoma-hyphema (UGH) syndrome is a rare condition characterized by intraocular inflammation, elevated intraocular pressure, and recurrent hyphema.

DiagnosisExpert OpinionReviewn=Not applicableCh23

Uveitis-glaucoma-hyphema (UGH) syndrome is typically caused by chafing between an intraocular lens and the iris or ciliary body.

MechanismExpert OpinionReviewn=Not applicableCh19Ch23

Microinvasive glaucoma devices (MIGS) are becoming increasingly recognized as potential causes of recurrent intraocular inflammation.

MechanismExpert OpinionReviewn=Not applicableCh23

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