Incomplete Uveitis – Glaucoma – Hyphema (Ugh) Syndrome in a 36 Year Old Male

Case Report

Austin J Clin Ophthalmol. 2015;2(3): 1050.

Incomplete Uveitis – Glaucoma – Hyphema (Ugh) Syndrome in a 36 Year Old Male

Do Nguyen Nguyen1*, Dang Tam Mai2 and Bich Minh Vo Ngoc3

1Doctor, Chief of Phaco Department, HoChiMinh City Eye Hospital, VIetnam

2Doctor, Department of Glaucoma, HoChiMinh City Eye Hospital, Vietnam

3Ophthalmology Intern, Pham Ngoc Thach University of Medicine, Vietnam

*Corresponding author: Do Nguyen Nguyen, Chief of Phaco Department, HoChiMinh City Eye Hospital, Vietnam

Received: April 23, 2015; Accepted: May 28, 2015; Published: June 08, 2015


Uveitis – glaucoma - hyphema syndrome (Ellingson syndrome) is a rare condition, associated with anterior or posterior chamber IOLs [1-4]. Recently, most cases of this syndrome have been associated with single-piece acrylic IOLs placed in the sulcus [2]. This condition is caused by the chaffing of the iris with the malpositioned/subluxedIOL [1,3]. The classic triad of UGH syndrome are anterior chamber inflammation with pigment dispersion, increased intraocular pressure and blood in anterior chamber angle weeks to months after cataract surgery [1,3]. The diagnosis is usually difficult, because the clinical manifestations can be incomplete and the patient’s ocular discomfort may not correlate with clinical features. In this paper, we report a case of a patient with posterior chamber IOL who had only two elements of the UGH syndrome.


IOL: Intraocular Lens; IOP: Intraocular Pressure; OD: Right Eye; OS: Left Eye; PCO: Posterior Capsular Opacification; UGH – Uveitis; Glaucoma; Hyphema; VA: Visual Acuity

Case Report

Patient was 36-year-old Vietnamese male, who presented to Ho Chi Minhcity eye hospital on March, 2015. He had experienced some episodes of transient blurry vision in the right eye for a period of over 12months.

He gave a past ocular history of left eye keratitis 16 years prior to presentation which left a dense corneal scar. He had also undergone phacoemulsification cataract surgery with IOL implantation in his right eye 7 years previously. He had no history of ocular trauma or long term usage of corticoisteroid (either systemic or topical) before the cataract surgery.

The first episode of transient blurrying of vision in the right eye occurred six years after the cataract surgery but was not painful. This was followed by several episodes of blurry vision over the following 12 months. There was no history of ocular trauma postoperatively.

Day 1 pre-op

On the first day when he presented to our hospital, his visual acuity was OD 20/100 and OS hand motion. There was a dense central corneal scar OS (Figure 1B). Examination OD showed no conjunctival injection, poor pupillary reaction, clear cornea, deep anterior chamber, 3+pigmentation in anterior chamber and anterior vitreous and partial dislocation of the sulcus-fixated IOL. The posterior capsule was intact (Figure 1A). Fundus examination revealed the optic nerve with a cup to disc ratio of 0.9 and the thinning of neuroretinal rim (Figure 2). Intraocular pressure was OD 38 mmHg with Goldmann applanation tonometer. Automated Humphrey visual field testing revealed tunnel vision defect in the right eye (Figure 4).