Uveitis-glaucoma-hyphaema syndrome with in-the-bag placement of intraocular lens

Abstract

Uveitis-glaucoma-hyphaema (UGH) syndrome is commonly reported following intraocular lens (IOL) implantation in the anterior chamber or malpositioned posterior chamber IOLs. It is extremely rare to have this complication in an eye with intact posterior capsule and a well placed in-the-bag IOL. We report a case of a 48-year-old man who presented with blurred vision after an uneventful cataract surgery in the right eye, and who was treated for anterior uveitis. The anterior chamber inflammation persisted despite intense treatment with topical steroids for 2 months, and the intraocular pressure was high. The posterior chamber IOL was in the bag and well covered by a capsulorrhexis margin. Dilated gonioscopy revealed inferior capsular bag hyphaema secondary to the superior haptic displacement due to a tear in the equatorial bag. Our case highlights the importance of dilated gonioscopy and a rare possibility of UGH syndrome in an eye with a well-placed IOL.