DR. SUCHITA SINGH

DR.JAWAHAR JYOTI KULI

Abstract

A 42 year old female presented with sudden onset diminution of vision pain and redness of the right eye on 5th post operative day following the uneventful cataract surgery of right eye. Visual acuity was hand movement ,conjunctiva congested with healthy incision site,cornea hazy, pupil sluggishly reacting and IOP was 42mm Hg. Slit lamp examination of R/E showed hyphema , aqueous flare and cells , PCIOL in bag covered by capsulorrhexis margin . Gonioscopy R/E showed open angle with densely pigmented trabecular mesh work. Fundus normal. So patient was provisionally diagnosed Anterior uveitis R/E with incision site bleeding and treated accordingly with paracentesis and topical antibiotic,steroid and beta blocker. Post paracentesis there was relapse of hyphema on next day, keeping UGH as one of the differential diagnosis ULTRASOUND BIOMICROSCOPY R/E was done which revealed forward displacement of IOL , upper optic part in close apposition to iris , suggestive of UGH syndrome.