Case Study 33 UGH Syndrome
AA is a 76-year-old woman who had undergone cataract surgery on her left eye 9 months previous to her presentation with symptoms of a chronic aching feeling in that eye. The operative report was reviewed, and it was noted that there had been a posterior capsular tear with the implantation of a single-piece acrylic IOL in the ciliary sulcus. Examination showed intraocular pressure of 25 mm and low-grade iritis which responded to topical steroids but recurred every time the drops were stopped. Ultrasound biomicroscopy demonstrated contact of the lens haptic with the iris (Fig. 1). She was diagnosed with the UGH (uveitis–glaucoma–hyphema) syndrome and was scheduled for lens replacement.