Published online Dec 26, 2024. doi: 10.12998/wjcc.v12.i36.6944
Revised: September 26, 2024
Accepted: October 15, 2024
Published online: December 26, 2024
Processing time: 83 Days and 18.5 Hours
Altwijri and Alsirhy reported a case of uveitis-glaucoma-hyphema syndrome after an Ahmed glaucoma valve implantation surgery in an advanced primary open-angle glaucoma patient, being the first ever recorded of its kind. The author describes the position of the tube as the origin of the anterior chamber inflammation and hyphema, which resolved shortly after shortening and relocating it. This publication emphasizes the importance of precise implant positioning and close-up patient follow-up after glaucoma filtration surgery as an important standard for healthcare providers.
Core Tip: In this case report, Altwijri and Alsirhy describes a case of uveitis-glaucoma-hyphema syndrome after an Ahmed glaucoma valve implantation surgery in an ad
- Citation: Ferrere M, Garcia-Mansilla I, de Gainza A. Navigating postoperative complications: Uveitis-glaucoma-hyphema syndrome after Ahmed glaucoma valve implantation. World J Clin Cases 2024; 12(36): 6944-6946
- URL: https://www.wjgnet.com/2307-8960/full/v12/i36/6944.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v12.i36.6944
Uveitis-glaucoma-hyphema (UGH) syndrome is a rare complication reported mostly following cataract surgery, when there is an abnormal interaction of the intraocular lens with the iris producing chafing of the latter[1,2]. This could lead to a span of clinical scenarios, ranging from a mild chronic inflammation of the anterior segment to vitreous hemorrhage or cystoid macular edema[3], many cases reported even months after the intervention[2].
The manuscript provides a detailed and insightful account of UGH syndrome, following Ahmed glaucoma valve implantation-an issue not previously reported in the literature. The case study is well-structured and offers valuable information on the diagnostic work-up, surgical management, and resolution of this complication[4].
The discussion highlights the challenges in distinguishing UGH syndrome from other postoperative complications. Specifically, differentiating UGH syndrome from typical postoperative glaucoma scenarios that present with hyphema[5], hematic Tyndall, and elevated intraocular pressure (IOP) is crucial. The presence of these symptoms alone can make it difficult to pinpoint whether they stem from UGH syndrome or from other common postoperative issues[6,7].
Addressing this differential diagnosis is important for clinicians to ensure accurate treatment. The manuscript would benefit from additional emphasis on the diagnostic criteria and clinical features that were crucial in distinguishing UGH syndrome from routine postoperative complications. Details on how specific imaging or clinical findings helped in differentiating between these conditions could provide further clarity.
Additionally, including longer-term follow-up data on the patient’s visual acuity and IOP would be valuable. This information could offer insights into the long-term success of the repositioning surgery and any subsequent complications.
A comparison with other reported cases, if available, could help contextualize your findings and validate the uni
This case highlights how accurate identification of the underlying cause of postoperative complications is essential for maintaining the eye’s vitality and preventing further damage. Early and precise intervention based on the correct diag
1. | Apple DJ, Mamalis N, Loftfield K, Googe JM, Novak LC, Kavka-Van Norman D, Brady SE, Olson RJ. Complications of intraocular lenses. A historical and histopathological review. Surv Ophthalmol. 1984;29:1-54. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 416] [Cited by in F6Publishing: 374] [Article Influence: 9.4] [Reference Citation Analysis (0)] |
2. | Ramakrishnan MS, Wald KJ. Current Concepts of the Uveitis-Glaucoma-Hyphema (UGH) Syndrome. Curr Eye Res. 2023;48:529-535. [PubMed] [DOI] [Cited in This Article: ] [Reference Citation Analysis (0)] |
3. | Zemba M, Camburu G. Uveitis-Glaucoma-Hyphaema Syndrome. General review. Rom J Ophthalmol. 2017;61:11-17. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 16] [Cited by in F6Publishing: 27] [Article Influence: 4.5] [Reference Citation Analysis (1)] |
4. | Altwijri RJ, Alsirhy E. Uveitis glaucoma hyphema syndrome as a result of glaucoma implant: A case report. World J Clin Cases. 2024;12:6217-6221. [PubMed] [DOI] [Cited in This Article: ] [Reference Citation Analysis (0)] |
5. | Souza C, Tran DH, Loman J, Law SK, Coleman AL, Caprioli J. Long-term outcomes of Ahmed glaucoma valve implantation in refractory glaucomas. Am J Ophthalmol. 2007;144:893-900. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 100] [Cited by in F6Publishing: 113] [Article Influence: 6.6] [Reference Citation Analysis (0)] |
6. | Sahyoun MA, Farhat RG, Nehme JCB, Jalkh AE, Azar GG. Ahmed glaucoma valve in various etiologies of refractory glaucoma: Surgical outcomes and success factors. J Fr Ophtalmol. 2017;40:770-776. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 1] [Cited by in F6Publishing: 1] [Article Influence: 0.1] [Reference Citation Analysis (0)] |
7. | Gedde SJ, Feuer WJ, Lim KS, Barton K, Goyal S, Ahmed II, Brandt JD; Primary Tube Versus Trabeculectomy Study Group. Postoperative Complications in the Primary Tube Versus Trabeculectomy Study During 5 Years of Follow-up. Ophthalmology. 2022;129:1357-1367. [PubMed] [DOI] [Cited in This Article: ] [Cited by in Crossref: 12] [Cited by in F6Publishing: 16] [Article Influence: 8.0] [Reference Citation Analysis (0)] |