Abstract
U.G.H. syndrome is a known complication of IOL implantation associated with the use of anterior and rarely, posterior chamber intraocular lenses. It is due to mechanical excoriation of the angle or iris by the haptics or optic of an IOL and consists of uveitis, glaucoma and hyphema (U.G.H.). The advised therapeutic approach is explantation of the IOL. Following implantation of a posterior chamber IOL, three patients presented with bleeding into the posterior chamber, one associated with glaucoma. No patient had signs of uveitis. We decided to adress the symptoms and not to explant the IOL. We believe that this constitutes a variant of the ‘classical’ U.G.H. syndrome, namely an incomplete posterior U.G.H. (I.P.U.G.H.) syndrome, in which explantation of the I.O.L. is not compulsory.
Similar content being viewed by others
References
Ellingson FT. The uveitis-glaucoma-hyphema syndrome associated with the Mark III anterior chamber lens implant. Am Intraocular Implant Soc J 1978; 44: 50.
Berger RO. Fox shield treatment of the U.G.H. syndrome. J Cataract Refract Surg 1986; 12 (4): 419–21.
Keates RH, Ehrlich DR. ‘Lenses of change’ complications of anterior chamber implants. Ophtalmology 1978; 85: 408.
Hagan JC. A clinical review of the IOLAB Azar model 91Z flexible anterior chamber intraocular lens. Ophtalmic Surg 1987; 18 (4): 258–61.
Percival SPB, Das DR. U.G.H. syndrome after posterior chamber lens implantation. Am Intraocular Implant Soc J 1983; 9: 200.
Masket S. Pseudophakic posterior iris chafing syndrome. J Cataract Refract Surg 1986; 12 (3): 252–6.
Berger RR, McGrath E. A ‘tent trabeculectomy’ (T.T)-surgical alternative for countries of the Third World. Int Ophthalmol 1992; 16: 195–6.
Clayman HM. Intraocular lenses. In: Duane TD (ed) ‘Clinical ophthalmology’, Vol 5 8B: 24. J.B. Lippincott Co., Philladelphia, 1988.
Kern R. Complications and after-care in aphakic and pseudophakic patients. Klin Monatsbl Augenheilkd 1985; 186 (6): 468–70.
Ravi T, Aylward GW, Billson FA. ‘In-the-bag’ hyphema - a rare complication of posterior chamber lens implantation. Br J Ophtalmol 1989; 73: 474–5.
Hagan III, JG, Gaasterland DE. Endocapsular hematoma -description and treatment of a unique form of postoperative hemorrhage. Arch Ophthalmol 1991; 109: 514–8.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Berger, R.R., Kenyeres, A.M. & Vlok, A.N. Incomplete posterior U.G.H. syndrome — different iatrogenic entity?. Int Ophthalmol 19, 317–320 (1995). https://doi.org/10.1007/BF00130929
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00130929