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KMID : 0360220200610020221
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Journal of the Korean Ophthalmological Society
2020 Volume.61 No. 2 p.221 ~ p.225
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Urrets-Zavalia Syndrome Following Trabec
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Park Gi-Seok
Won Yeo-Kyung
Kim Kyoung-Nam
Lee Yeon-Hee
Kim Chang-Sik
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Abstract
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Purpose: We report a case of Urrets-Zavalia syndrome with a fixed dilated pupil after an uneventful trabeculectomy.
Case summary: Trabeculectomy was performed on a 51-year-old male who had a history of recurrent uveitis in the left eye, with uncontrolled intraocular pressure despite maximally-tolerated medial therapy. There was no unexpected event during surgery.
Topical 1% atropine was used for only 2 days after surgery. In the early postoperative period, 1% prednisolone and 0.3% ofloxacin were given four times a day, then gradually reduced. One month later, only 1% prednisolone was given once a day.
Intraocular pressure in his left eye was well controlled from 8-14 mmHg after surgery. One month after surgery, the pupils remained dilated. There was no reaction to topical 2% pilocarpine and no relative afferent pupillary defect or posterior synechia.
Conclusions: Our case, although rare, suggests that Urrets-Zavalia syndrome should be considered in patients with well-controlled intraocular pressure after uneventful trabeculectomy.
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KEYWORD
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Dilation, Pathologic, Pupil, Trabeculectomy, Urrets-Zavalia syndrome
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