UGH Syndrome Resolution after IOL Explantation and Concomitant Carlevale IOL Implantation

Ocul Immunol Inflamm. 2024 Apr;32(3):320-325. doi: 10.1080/09273948.2023.2169716. Epub 2023 Feb 7.

Abstract

Objective: To examine the use of Carlevale IOL placement in patients with UGH, and to evaluate surgical outcomes.

Design: In this retrospective study, 28 patients with UGH syndrome that were subjected to IOL explantation and concomitant Carlevale IOL implantation were included in the study.

Methods: Information about VA, IOP, number of glaucoma medication, need for glaucoma surgery, presence of hemorrhage and inflammation were recorded up to 6 months after the procedure.

Results: We found a statistically significant increase in mean visual acuity and complete resolution of uveitis in all patients. Mean IOP and the mean number of glaucoma medications were significantly decreased postoperatively, while 14% of patients required additional glaucoma surgery.

Conclusions: IOL explantation and concomitant Carlevale IOL implantation may provide a viable solution for UGH syndrome resolution, increases visual acuity, and decreases the need for glaucoma medication.

Keywords: Glaucoma; hyphema; scleral fixated IOL; uveitic glaucoma; uveitis.

MeSH terms

  • Glaucoma* / etiology
  • Glaucoma* / surgery
  • Glaucoma, Open-Angle* / surgery
  • Humans
  • Hyphema
  • Lenses, Intraocular* / adverse effects
  • Ophthalmologic Surgical Procedures
  • Postoperative Complications / etiology
  • Retrospective Studies
  • Uveitis* / etiology
  • Uveitis* / surgery