Look carefully at this picture and ask yourself why this IOL is causing issues? The patient had a seemingly routine cataract surgery and then the single piece acrylic IOL was implanted. Everything seemed fine in the post-op period but then a few months later the optic became decentered and the patient developed UGH syndrome: uveitis, glaucoma, and mirco-hyphema. Why? Answer below before watching the video…
Nasally subluxation and ciliary irritation ?
Possibly one haptic is in sulcus
the haptic to the left is in the sulcus irritating the iris. I see this all to often on referral.
Probably pt had some contusion due to which one of the haptics caused trauma to ciliary bodies resulting in hemorrhage and angle blockage