From the Department of Ophthalmology, Boston University School of Medicine, Boston, Massachusetts, USA.
From the Department of Ophthalmology, Boston University School of Medicine, Boston, Massachusetts, USA.
J Cataract Refract Surg. 2017 Jul;43(7):985-987. doi: 10.1016/j.jcrs.2017.07.002.
We report the case of a patient who developed the uveitis-glaucoma-hyphema (UGH) syndrome secondary to extensive fibrosis (Soemmerring ring) around the haptics of the single-piece intraocular lens (IOL) in the capsular bag. The development of significant capsule fibrosis caused the IOL to tilt out of the iris plane, leading to haptic-iris and haptic-ciliary body chafing. The mechanisms described should prompt clinicians to consider the UGH syndrome even in the setting of a single-piece IOL properly placed in the capsular bag. Anterior segment imaging with ultrasound biomicroscopy can be used to evaluate the position of the IOL haptics in suspected cases.
我们报告了一例患者,由于后房型囊袋内的一片式人工晶状体(IOL)襻周围广泛纤维化(Soemmerring 环),导致出现葡萄膜炎-青光眼-前房积血(UGH)综合征。显著的囊袋纤维化导致 IOL 倾斜出虹膜平面,引起襻-虹膜和襻-睫状体摩擦。所描述的机制应促使临床医生即使在一片式 IOL 正确放置在后房型囊袋的情况下,也考虑UGH 综合征。超声生物显微镜的眼前节成像可用于评估疑似病例中 IOL 襻的位置。