Recurrent Uveitis-Glaucoma-Hyphema Syndrome due to Positional Pupillary Capture after Suture-Less Scleral-Fixated Secondary Intraocular Lens Placement

Case of floppy iris leading to positional pupillary capture by a sutureless, scleral-fixated intraocular lens (IOL) causing recurrent uveitis-glaucoma-hyphema (UGH) syndrome. The patient developed recurrent episodes of UGH syndrome after dislocated IOL removal and placement of sutureless, scleral-fixated IOL. Gravitationally dependent pupillary capture was noted with the superior iris moving in front of and behind the IOL depending on head positioning. Ultrasonography showed a floppy iris that moved with shifting gaze. Lack of capsular bag may have contributed to extreme iris movements. Secondary IOL placement behind a peripherally preserved capsular bag may reduce the risk of UGH in similar cases.