Urrets-Zavalia Syndrome Following Trabeculectomy
10.3341/jkos.2020.61.2.221
- Author:
Gi Seok PARK
1
;
Yeo Kyoung WON
;
Kyoung Nam KIM
;
Yeon Hee LEE
;
Chang sik KIM
Author Information
1. Department of Ophthalmology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea. kknace@cnuh.co.kr
- Publication Type:Case Report
- Keywords:
Dilation;
Pathologic;
Pupil;
Trabeculectomy;
Urrets-Zavalia syndrome
- MeSH:
Atropine;
Humans;
Intraocular Pressure;
Male;
Middle Aged;
Ofloxacin;
Pilocarpine;
Postoperative Period;
Prednisolone;
Pupil;
Pupil Disorders;
Trabeculectomy;
Uveitis
- From:Journal of the Korean Ophthalmological Society
2020;61(2):221-225
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
