Klin Monbl Augenheilkd 2016; 233(04): 373-374
DOI: 10.1055/s-0042-102583
Der interessante Fall
Georg Thieme Verlag KG Stuttgart · New York

Urrets-Zavalia Syndrome after Iris-Claw-Lens Implantation, Inadequate Iridectomy and Acute Glaucoma

Urrets-Zavalia-Syndrom nach Irisklauenlinsen-Implantation, insuffizienter Iridektomie und akutem Glaukom
P. Arendt
1   Klinik Pallas, Olten, Switzerland (Director: Prof. Dr. Heinrich Gerding)
,
H. Gerding
1   Klinik Pallas, Olten, Switzerland (Director: Prof. Dr. Heinrich Gerding)
2   Department of Ophthalmology, University of Münster, Münster (Chairman: Prof. Dr. Nicole Eter)
› Author Affiliations
Further Information

Publication History

Publication Date:
26 April 2016 (online)

Introduction

Urrets-Zavalia syndrome is characterized by an irreversible mydriasis generally as a result of increased intraocular pressure (IOP) and ischemia of the iris [1]. It was described after penetrating keratoplasty for keratoconus [1] as well as other ophthalmological surgery, like trabeculectomy [2], argon laser peripheral iridoplasty [3], LASIK [4] as well as deep anterior lamellar keratoplasty [5].

 
  • References

  • 1 Urrets-Zavalia A. Fixed, dilated pupil, iris atrophy and secondary glaucoma: a distinct clinical entity following penetrating keratoplasty in keratoconus. Am J Ophthalmol 1963; 56: 257-265
  • 2 Jain R, Assi A, Murdoch I. Urrets-Zavalia syndrome following trabeculectomy. Br J Ophthalmol 2000; 84: 337
  • 3 Espana EM, Ioannidis A, Tello C et al. Urrets-Zavalia syndrome as a complication of argon laser peripheral iridoplasty. Br J Ophthalmol 2007; 91: 427-429
  • 4 Avadhani K, Prakasch G, Srivastava D et al. Urrets-Zavalia syndrome after laser-assisted in situ keratomileusis (LASIK). BMJ Case Rep 2015; [Epub 2015 Jul 8]
  • 5 Niknam S, Rajabi MT. Fixed dilated pupil (Urrets-Zavalia syndrome) after deep anterior lamellar keratoplasty. Cornea 2009; 28: 1187-1190
  • 6 Yuzbasioglu E, Helvacioglu F, Sencan S. Fixed, dilated pupil after phakic intraocular lens implantation. J Cataract Refract Surg 2006; 32: 174-176
  • 7 Davies PD, Ruben M. The paretic pupil: its incidence and aetiology after keratoplasty for keratoconus. Br J Ophthalmol 1975; 59: 223-228
  • 8 Bourcier T, Laplace O, Touzeau O et al. Urrets-Zavalia syndrome. J Fr Ophtalmol 2001; 24: 303-308
  • 9 Spierer O, Lazar M. Urrets-Zavalia syndrome (fixed and dilated pupil following penetrating keratoplasty for keratoconuc) and its variants. Surv Ophthalmol 2014; 59: 304-310