Related Experiment Video
Updated: Dec 28, 2025
Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
Diode laser transscleral cyclophotocoagulation for uveitis-glaucoma-hyphema syndrome: A case report
Zhengfeng Liu1, Feng Zhang2,3, Ying Wen4
1Medical School of Ophthalmology & Optometry, Shandong University of Traditional Chinese Medicine.
Rationale:
To report a case of diode laser transscleral cyclophotocoagulation (DLTSC) for uveitis-glaucoma-hyphema syndrome (UGH).
Patient Concerns:
The patient developed UGH on the right eye (OD) after vitrectomy and intraocular lens (IOL) implantation.
Diagnoses:
Best corrected visual acuity (BCVA) was HM/50 cm, intraocular pressure (IOP) was 51.3 mm Hg on the OD. He was found to have 3+ anterior chamber cells. A B-scan ultrasound showed vitreous opacity. Ultrasound biomicroscopy (UBM) showed the chafing between the IOL and the posterior surface of the iris. Thus, he was diagnosed as UGH on the OD.
Interventions:
The patient was worried about the complications for removal of the IOL, a DLTSC approach was performed.
Outcomes:
BCVA was 20/40 on the OD, IOP was 12 mm Hg on the OD. There were no anterior chamber inflammation and no vitreous opacity. UBM showed there was no contact between IOL and the posterior surface of the iris, the fundus of the eye was clearly visible.
Lessons:
UGH syndrome is a severe complication of cataract extraction. IOL extraction has been the traditional approach to treatment. DLTSC can be an option when the IOL is slightly tilted.
