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Case Reports
. 2024 Feb 9:34:102010.
doi: 10.1016/j.ajoc.2024.102010. eCollection 2024 Jun.

Urrets-Zavalia syndrome following placement of scleral-sutured intraocular lens

Mohamed M Sylla  1 , Samuel Gelnick  1 , Ilya Leskov  1
Affiliations
Case Reports

Urrets-Zavalia syndrome following placement of scleral-sutured intraocular lens

Mohamed M Sylla et al. Am J Ophthalmol Case Rep. .

Abstract

Purpose: To report a novel case of Urrets-Zavalia syndrome (UZS).

Observation: A 59-year-old man underwent removal of a dislocated intraocular lens and placement of a scleral-sutured intraocular lens. After surgery, the pupil in the operative eye was dilated, fixed, and unresponsive to constricting drops.

Conclusion: This case expands the known etiology of UZS. Possible preventative measures may include pre-operative screening for plateau iris and intra-operative use of iris hooks instead of pharmacological dilation.

Keywords: Dilated pupil; Fixed pupil; Plateau iris; Scleral sutured intraocular lens; Secondary intraocular lens; Urrets-Zavalia syndrome.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Anterior segment photographs of the patient's eyes. Neither eye was pharmacologically dilated prior to the photographs being taken. A. Right eye. Note the extreme iris dilation. Corneal haze inferotemporally is from a corneal wound made during the patient's initial cataract surgery. The intraocular lens is centered and in proper orientation, with superonasl sutures visible in the photograph. B. Left eye.
Fig. 2
Fig. 2
Anterior segment OCT. A, B. Right eye, showing a permanently dilated pupil and closed angle nasally and temporally. C, D. Left eye, showing plateau iris configuration nasally and temporally.
See this image and copyright information in PMC

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References

    1. Jastaneiah S., Al-Towerki A.E., Al-Assiri A. Fixed dilated pupil after penetrating keratoplasty for macular corneal dystrophy and keratoconus. Am J Ophthalmol. Sep 2005;140(3):484–489. - PubMed
    1. Johri T., Dubey S. A rare case of Urrets-Zavalia syndrome following trabeculectomy in a pediatric patient. Indian Journal of Ophthalmology - Case Reports. 2023;3(2)
    1. Foroutan A., Tabatabaei S.A., Soleimani M., Nekoozadeh S. Urrets-Zavalia syndrome in different methods of keratoplasty. Int J Ophthalmol. 2016;9(9):1358–1360. - PMC - PubMed
    1. Bozkurt K.T., Acar B.T., Acar S. Fixed dilated pupilla as a common complication of deep anterior lamellar keratoplasty complicated with Descemet membrane perforation. Eur J Ophthalmol. 2013;23(2):164–170. Mar-Apr. - PubMed
    1. Anwar D.S., Chu C.Y., Prasher P., Bowman R.W., Mootha V.V. Features of Urrets-Zavalia syndrome after descemet stripping automated endothelial keratoplasty. Cornea. Nov 2012;31(11):1330–1334. - PubMed

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