Advances in uveitis-glaucoma-hyphema syndrome and related research
10.3760/cma.j.cn115989-20221104-00513
- VernacularTitle:葡萄膜炎-青光眼-前房积血综合征研究进展
- Author:
Jiawei SONG
1
;
Xiujuan DU
1
;
Dongmei LIU
1
Author Information
1. 山东中医药大学附属眼科医院 山东中医药大学（国际）眼科与视光医学院 山东省眼病防治研究院 山东省中西医结合眼病防治重点实验室 山东省眼视光与青少年视力低下防控临床医学研究中心 山东省视觉智能工程技术研究中心 山东省儿童青少年健康与近视防控研究院，济南 250000
- Publication Type:Journal Article
- Keywords:
Cataract;
Intraocular lenses;
Uveitis-glaucoma-hyphema syndrome;
Postoperative complications
- From:
Chinese Journal of Experimental Ophthalmology
2025;43(10):973-978
- CountryChina
- Language:Chinese
-
Abstract:
Uveitis-glaucoma-hyphema syndrome is a rare complication after intraocular lens (IOL) implantation.The cause of the disease is the mechanical friction of the intraocular lens on the anterior segment structures.There is no unified consensus on the pathogenesis of UGH syndrome, and it is generally accepted that disruption of the blood-aqueous humor barrier and reverse pupillary block are the two common mechanisms.The typical clinical manifestations of UGH syndrome include anterior chamber inflammation, increased intraocular pressure and hyphema, with or without vitreous hemorrhage.It is easily misdiagnosed as uveitis.If untreated, it can lead to serious consequences such as loss of vision.The diagnosis of UGH syndrome is based on IOL implantation history, slit-lamp microscopy examination (especially after pupil dilation) that observes an IOL deviation or absence of the capsule, and an ultrasound biomicroscopy that observes contact between IOL and the iris or ciliary body.Treatment for UGH syndrome includes drugs, lasers, and surgery.At present, surgery is the primary method, mainly including IOL alignment, IOL removal or replacement, capsular tension ring implantation, etc.Laser treatments include laser iridoplasty, laser iridotomy and ciliary body laser photocoagulation.UGH syndrome has been reported more frequently abroad and is only reported as case reports in China.The purpose of this review is to discuss the etiology, pathogenesis and diagnosis of UGH syndrome.In addition, we discuss the treatment and caveats of UGH syndrome.The aim of review is to provide a more comprehensive basis for clinicians to understand, diagnose and treat UGH syndrome.
