06/14/2026
A 75-year-old physician presented with recurrent episodes of painless and “foggy” vision in the right eye (OD) lasting 3 hours. He was investigated for amaurosis and began dual anti-platelet therapy. Vision OD was 20/25, intraocular pressure was 43 mmHg, and the anterior chamber showed 2+ red blood cells without iris transillumination defects or neovascularization. (A) External photograph showed no iris abnormalities. (B) Gonioscopy demonstrated microhyphema. (C, D) Ultrasound biomicroscopy revealed an intraocular lens within the capsular bag with the nasal haptic abutting the anteriorly rotated ciliary process (arrow). Although rare with in-the-bag implants, uveitis glaucoma hyphema (UGH) syndrome may cause “white out” transient monocular vision loss.
From “In-the-Bag Uveitis Glaucoma Hyphema Syndrome Masquerading as Transient Monocular Vision Loss” by Daniel J. Espinosa, BS, Osama Ahmed, MD, Sangeeta Khanna, MD. Published by Ophthalmology online on December 8, 2025.
Read: https://ow.ly/tyJP50YEFpj