Fixed, dilated pupil after phakic intraocular lens implantation

Journal of Cataract and Refractive Surgery
Erdal YuzbasiogluSadik Sencan

Abstract

A 26-year-old man with degenerative high myopia had bilateral anterior chamber phakic intraocular lens (IOL) implantation under general anesthesia. The preoperative slitlamp examination was normal. No mydriatic drops were used before, during, or after the procedure. Postoperatively, the intraocular pressure (IOP) in the right globe increased to 60 mm Hg. After the IOP was controlled, the pupil became fixed and dilated. Iris fluorescein angiography was obtained and delayed filling of the iris capillary plexus with large areas of no perfusion was observed in the right eye. Based on these findings, a diagnosis of Urrets-Zavalia syndrome was made. To our knowledge, this is the first report of Urrets-Zavalia syndrome after phakic IOL implantation.

References

Apr 1, 1975·The British Journal of Ophthalmology·P D Davies, M Ruben
Apr 1, 2000·The British Journal of Ophthalmology·R JainI E Murdoch
Jan 22, 2002·The British Journal of Ophthalmology·Meg Minasian, William Ayliffe
Jan 29, 2002·American Journal of Ophthalmology·Vincenzo MaurinoStephen J Tuft
Aug 1, 1963·American Journal of Ophthalmology·A URRETS ZAVALIA

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Citations

Sep 12, 2012·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Gustavo S FigueiredoFrancisco C Figueiredo
Sep 4, 2007·Current Neurology and Neuroscience Reports·Jeremy J Moeller, Charles E Maxner
Sep 22, 2006·The British Journal of Ophthalmology·E M EspanaR Ritch
Feb 16, 2013·The British Journal of Ophthalmology·Noor Bakht NizamaniKhalid Iqbal Talpur
Nov 30, 2010·Journal of Cataract and Refractive Surgery·Thomas KohnenJose Luis Güell
Jul 31, 2007·Journal of Cataract and Refractive Surgery·Julien CoulletJean-Louis Arné
Mar 22, 2016·Archivos de la Sociedad Española de Oftalmología·A Del Hierro Zarzuelo, A Boto de Los Bueis
Jun 17, 2015·Archivos de la Sociedad Española de Oftalmología·A Muñoz-MoralesR Luchena-López
Oct 1, 2013·Seminars in Ophthalmology·Rafael José Pérez-CambrodíAlejandro Cerviño-Expósito
Dec 2, 2014·Revista brasileira de anestesiologia·Juan A Ramos
Oct 1, 2019·Journal of Cataract and Refractive Surgery·Abdulaziz A Alshamrani, Saad S Alharbi
Jul 1, 2017·Journal of Glaucoma·Geraldo M VieiraRobert Ritch
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Dec 3, 2008·Journal of Refractive Surgery·Shin Hae ParkSuk Woo Yang
Jun 15, 2007·Current Opinion in Ophthalmology
Sep 23, 2021·Journal of Medical Case Reports·Duangratn Niruthisard, Ngamjit Kasetsuwan

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