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Retention fibers in UGH syndrome treatment

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Session Details

Session Title: Presented Poster Session: Complications Management in Cataract Surgery

Venue: Poster Village: Pod 1

First Author: : E.Gurmizov RUSSIA

Co Author(s): :    K. Pershin              

Abstract Details

Purpose:

Modern possibilities of cataract surgery allow us to carry out operations without complications in patients with a lens ligaments damage. Despite this, in the postoperative period, the development of such a complication as Ellingson's syndrome (uveitis-glaucoma-hyphema) leading to persistent vision loss is possible. Treatment of this syndrome consists in explantation and replacement with iris-claw IOL or IOL with transscleral fixation. We have approved the technique, which consists in carrying retention fibers before the 'capsular bag-IOL' complex, which leads to a decrease in contact with the iris and further disease development.

Setting:

Excimer eye center, St. Petersburg, Russia.

Methods:

We observed 3 patients (3 eyes) with UGH-syndrome. A lens ligament apparatus weakness and uncomplicated surgical cataract treatment using one-piece IOL implantation were presented in all patients. The syndrome development was observed from 5 to 12 months after the surgery and manifested with hyphema. Conservative treatment caused the process stabilization for a short period of time. Surgical treatment consisted in carrying out the bandage fibers (nylon 10.0) transsclerally through the ciliary body sulcus in order to create a barrier between the posterior surface of the iris and the 'capsular bag-IOL' complex.

Results:

All surgical interventions were without complications. We did not observe any signs of hyphae recurrence in the entire follow-up period. Visual acuity and IOP returned to baseline within 3 weeks after surgery. Only one patient required the appointment of an antiglaucomatous drug to stabilize IOP. The technique of the operation is simple and economically low-cost. The likelihood of developing intraoperative complications is many times less than when using IOL replacement. The duration of the follow-up period allows to state the disease stabilization.

Conclusions:

Thus, the use of retention fibers is a reliable way to treat UGH syndrome.

Financial Disclosure:

NONE

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