Spontaneous hyphaema and acute ocular hypertension associated with severe lens-induced uveitis

Abstract

Purpose: To report the occurrence of spontaneous hyphaema and acute ocular hypertension in four patients with severe lens-induced anterior uveitis. Methods: Retrospective case series. Results: Four patients with mature cataract developed severe acute, unilateral, anterior uveitis associated with spontaneous hyphaema formation and acutely elevated intraocular pressure. None of the patients had a history of trauma or evidence of angle, iris, or retinal neovascularization. Prompt cataract removal led to resolution of the inflammation, clearing of the anterior chamber haemorrhage, and normalization of intraocular pressure in all four affected eyes. Conclusions: Spontaneous hyphaema and acute ocular hypertension can occur in patients with severe lens-induced intraocular inflammation in the absence of trauma or ocular neovascularization. © 2010 Macmillan Publishers Limited All rights reserved.