case_images: PMC10715750_01
case_images: Slit-lamp exam pictures of the patient's eye suffering from SR-induced UGH syndrome, on presentation (a), immediately post-IOL exchange (b, c), and 11 months post-operation (d).
case_images: cop-2023-0014-0001-534105_F01.jpg
case_images: PMC10715750_01_cop-2023-0014-0001-534105_F01.jpg
case_images: F1
case_images: Hg OS, visual acuity was 20/20 OU, Humphrey visual field (24-2) mean deviation was -2.83 dB OD and -0.05 dB OS, ganglion cell layer (GCL) thickness was 64 mum OD and 67 mum OS, retinal nerve fiber layer (RNFL) thickness was 89 mum OD and 87 mum OS, and slit lamp exam revealed mild posterior capsule opacification but was otherwise unremarkable (Fig. 1a). Her history included hypertension, dyslipidemia, thyroidectomy with synthroid therapy, and was notably negative for any migrainous symptoms. Her ocular history was insignificant other than previous phacoemulsification and IOL implantation in her right eye 16 years ago. Postoperative slit-lamp pictures were taken for comparative purposes both immediately post-operation (Fig. 1b, c) and at 10-month follow-up (Fig. 1d).
case_images: Ultrasound biomicroscopy (UBM) images of the affected eye. a, b Preoperative images showing the Soemmering's ring (SR) posteriorly contacting and anteriorly displacing the iris. c, d Postoperative UBM images showing no residual SR, nothing contacting the posterior iris, and the new 3-piece ITB IOL in situ.
case_images: cop-2023-0014-0001-534105_F02.jpg
case_images: PMC10715750_01_cop-2023-0014-0001-534105_F02.jpg
case_images: F2
case_images: This prompted further workup including angiography, which ruled out a dural fistula and ultrasound biomicroscopy (UBM), which showed a mass contacting the iris in the right eye (Fig. 2a, b). Postoperative UBM (Fig. 2c, d) showed the new 3-piece ITB IOL in situ with no SR or haptics contacting the posterior iris.