advertisement
Abstract #92564 Published in IGR 22-1
Uveitis-Glaucoma-Hyphema Syndrome: Clinical Features and Differential Diagnosis
Accorinti M; Saturno MC; Paroli MP; De Geronimo D; Gilardi MOcular Immunology and Inflammation 2021; 0: 1-6
to study the clinical features of uveitis-glaucoma-hyphema (UGH) syndrome, particularly those useful for a differential diagnosis from unilateral hypertensive acute anterior uveitis. A retrospective chart review was conducted on the clinical features of 9 patients with UGH syndrome. These features were then compared with those detected in 50 patients with unilateral hypertensive acute anterior uveitis. Fine and pigmented keratic precipitates ( = .0002 and = .00004, respectively), iris atrophy ( = .0122), hyphema and vitreous opacities > 2+ ( = .0003), and cystoid macular edema ( = .009) were statistically associated with UGH syndrome. These clinical signs show a high specificity, ranging from 58 to 100%; the presence of pigmented keratic precipitates in the setting of a unilateral acute hypertensive anterior uveitis has a sensitivity and specificity of 89% and 84%, respectively. In patients operated on for cataract, UGH syndrome can be differentiated from unilateral hypertensive acute anterior uveitis considering specific clinical signs.
Department of Sense Organs, Sapienza University of Rome, Uveitis Center - AOU Policlinico Umberto I, Rome, Italy.
Full articleClassification:
9.4.6 Glaucomas associated with inflammation, uveitis (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
9.4.10 Glaucomas associated with hemorrhage (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)