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Post a Comment Urrets-Zavalia syndrome after penetrating keratoplasty
- Authors: Riks I.A.1, Papanyan S.S.1, Astakhov S.Y.1, Dzhaliashvili G.Z.1
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Affiliations:
- Academician I.P. Pavlov First St. Petersburg State Medical University
- Issue: Vol 11, No 4 (2018)
- Pages: 99-103
- Section: Articles
- URL: https://journals.rcsi.science/ov/article/view/11129
- DOI: https://doi.org/10.17816/OV11499-103
- ID: 11129
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Abstract
The article presents a case of Urrets-Zavalia syndrome development in a patient after a subtotal penetra ting keratoplasty, carried out for corneal opacity. Since this syndrome was diagnosed in time, it was possible to avoid further complications and worsening of visual functions in 25-year-old patient.
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##article.viewOnOriginalSite##About the authors
Inna A. Riks
Academician I.P. Pavlov First St. Petersburg State Medical University
Author for correspondence.
Email: riks0503@yandex.ru
MD, PhD, Assistant, Ophthalmology Department
Saint PetersburgSanasar S. Papanyan
Academician I.P. Pavlov First St. Petersburg State Medical University
Email: dr.papanyan@yandex.ru
MD, Aspirant, Ophthalmology Department
Russian Federation, Saint PetersburgSergey Yu. Astakhov
Academician I.P. Pavlov First St. Petersburg State Medical University
Email: astakhov73@mail.ru
MD, PhD, DMedSc, Professor, Head of the Department, Ophthalmology Department
Russian Federation, Saint PetersburgGeorgiy Z. Dzhaliashvili
Academician I.P. Pavlov First St. Petersburg State Medical University
Email: zurabych@yandex.ru
Ophthalmologist
Russian Federation, Saint PetersburgReferences
- Urrets Zavalia A, Jr. Fixed, Dilated Pupil, Iris Atrophy and Secondary Glaucoma. Am J Ophthalmol. 1963;56:257-265. doi: 10.1016/0002-9394(63)91861-0.
- Foroutan A, Tabatabaei SA, Soleimani M, Nekoozadeh S. Urrets-Zavalia syndrome in different methods of keratoplasty. Int J Ophthalmol. 2016;9(9):1358-1360. doi: 10.18240/ijo.2016.09.22.
- Amsler M. Kératocône classique et kératocône frustre: arguments unitaires. Ophthalmologica. 1946;111(2-3):96-101. doi: 10.1159/000300309.
- Bozkurt KT, Acar BT, 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. doi: 10.5301/ejo.5000198.
- Chelnis JG, Sieminski SF, Reynolds JD. Urrets-Zavalia syndrome following goniotomy in a child. J AAPOS. 2012;16(3):312-313. doi: 10.1016/j.jaapos.2012.01.014.
- Espana EM, Ioannidis A, Tello C, et al. Urrets-Zavalia syndrome as a complication of argon laser peripheral iridoplasty. Br J Ophthalmol. 2007;91(4):427-429. doi: 10.1136/bjo.2006.105098.
- Foroutan A, Soleimani M, Ghaempanah MJ. Bilateral Fixed Dilated Pupil after Penetrating Keratoplasty. Iran J Ophthalmol. 2012;24(2):72-74.
- Jastaneiah S, Al-Towerki AE, Al-Assiri A. Fixed dilated pupil after penetrating keratoplasty for macular corneal dystrophy and keratoconus. Am J Ophthalmol. 2005;140(3):484-9. doi: 10.1016/j.ajo.2005.04.029.
- Maurino V, Allan BD, Stevens JD, Tuft SJ. Fixed dilated pupil (Urrets-Zavalia syndrome) after air/gas injection after deep lamellar keratoplasty for keratoconus. Am J Ophthalmol. 2002;133(2):266-268. doi: 10.1016/S0002-9394(01)01308-3.
- Mocan MC, Bozkurt B, Irkec M, Orhan M. Urrets-Zavalia syndrome following iatrogenic pupil dilation in eyes with pigment dispersion. Can J Ophthalmol. 2009;44(2):216-217. doi: 10.3129/i09-009.
- Perez-Cambrodi RJ, Pinero-Llorens DP, Ruiz-Fortes JP, et al. Fixed mydriatic pupil associated with an intraocular pressure rise as a complication of the implant of a Phakic Refractive Lens (PRL). Semin Ophthalmol. 2014;29(4):205-9. doi: 10.3109/08820538.2013.821501.
- Rodriguez BR. Personal communication. Ed. by B.W. Rycroft. London: Corneal Grafts; 1955.
- Russell HC, Srinivasan S. Urrets-Zavalia syndrome following Descemet’s stripping endothelial keratoplasty triple procedure. Clin Exp Ophthalmol. 2011;39(1):85-87. doi: 10.1111/j.1442-9071.2010.02401.x.
- Schiessl G, Hager T, Seitz B. Postoperative maximum dilated fixed pupil and primary graft insufficiency after penetrating keratoplasty. Ophthalmologe. 2018;115(1):63-66. doi: 10.1007/s00347-017-0553-4.
- Spierer O, Lazar M. Urrets-Zavalia syndrome (fixed and dilated pupil following penetrating keratoplasty for keratoconus) and its variants. Surv Ophthalmol. 2014;59(3):304-310. doi: 10.1016/j.survophthal.2013.12.002.
- Vieira GM, Vieira FJ, Ritch R. Urrets-Zavalia Syndrome After Diode Laser Transscleral Cyclophotocoagulation. J Glaucoma. 2017;26(7):678-682. doi: 10.1097/IJG.0000000000000666.
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Fig. 1. Left eye patient A. three weeks after penetrating keratoplasty (syndrome Urrets-Zavalia)
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Fig. 2. Fibrin and clumps of pigment on the anterior capsule lens
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Fig. 3. Left eye six months after penetrating keratoplasty (preserved mydriasis, no atrophy iris)
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Fig. 4. Optical coherence tomography of the anterior segment – single anterior synechia (doctor S.G. Belekhova)
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