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Ultrasound biomicroscopy in uveitis-glaucoma-hyphema syndrome
Scott Piette1, Oscar A Q Canlas, H Viet Tran
1Department of Ophthalmology, New York Eye and Ear Infirmary, New York, New York 10003, USA.
Purpose:
To assess anterior segment anatomy in uveitis-glaucoma- hyphema syndrome.
Design:
Retrospective case series.
Methods:
Nine pseudophakic eyes (nine patients) with complete or incomplete uveitis-glaucoma-hyphema syndrome underwent ultrasound biomicroscopy.
Results:
Ultrasound biomicroscopy revealed intraocular lens malposition in each case. Of the eight eyes with posterior chamber intraocular lenses, haptics were in contact with the iris pigment epithelium (four eyes) or the pars plicata (three eyes) or prolapsed into the angle recess near a filtration bleb internal ostium (one eye). All other posterior chamber intraocular lens haptics were located in the ciliary sulcus with the exception of two in the capsular bag. Both haptics in the eye with the anterior chamber intraocular lens had eroded into the ciliary body.
Conclusion:
By its ability to detect haptic position, ultrasound biomicroscopy can assist in elucidating the cause of uveitis-glaucoma-hyphema syndrome and in deciding on the course of treatment.