Recurrent microhyphema despite intracapsular fixation of a posterior chamber intraocular lens

• Published in: Journal of cataract and refractive surgery Vol. 29; no. 8; pp. 1632 - 1635
• Main Authors: Foroozan, Rod, Tabas, Janine G, Moster, Mark L
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.08.2003; Elsevier Science
• Subjects: Anterior Eye Segment - diagnostic imaging; Biological and medical sciences; Ciliary Body - diagnostic imaging; Diseases of cornea, anterior segment and sclera; Female; Humans; Hyphema - etiology; Iris - diagnostic imaging; Lens Capsule, Crystalline - diagnostic imaging; Lens Capsule, Crystalline - surgery; Lens Implantation, Intraocular - adverse effects; Lenses, Intraocular; Medical sciences; Middle Aged; Ophthalmology; Pseudophakia - complications; Recurrence; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the eye and orbit; Ultrasonography; Vision Disorders - etiology; Visual Acuity; Case study; Human; Relapse; Fixation; Intraocular; Surgery; Hyphema; Intracapsular; Complication; Recurrent; Intraocular lens
• ISSN: 0886-3350; 1873-4502
• DOI: 10.1016/S0886-3350(03)00122-6

A 61-year-old woman experienced multiple episodes of transient visual blurring in her pseudophakic eye, each of which lasted about 1 hour. Repeat examination during a symptomatic episode revealed anterior chamber red blood cells consistent with a microhyphema in the pseudophakic eye despite intracapsular fixation of a posterior chamber intraocular lens (PC IOL). Ultrasound biomicroscopy confirmed intracapsular fixation of the IOL haptics and revealed proximity of the edge of the IOL optic to the inferior pupillary margin in the region of an iridociliary body cyst. Uveitis–glaucoma–hyphema syndrome may occur despite intracapsular fixation of a PC IOL.