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Urrets-Zavalia Syndrome Following Trabeculectomy
Journal of the Korean Ophthalmological Society ; : 221-225, 2020.
Article in Korean | WPRIM | ID: wpr-811318
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.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Pilocarpine / Postoperative Period / Atropine / Uveitis / Prednisolone / Trabeculectomy / Ofloxacin / Pupil / Pupil Disorders / Intraocular Pressure Limits: Humans / Male Language: Korean Journal: Journal of the Korean Ophthalmological Society Year: 2020 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pilocarpine / Postoperative Period / Atropine / Uveitis / Prednisolone / Trabeculectomy / Ofloxacin / Pupil / Pupil Disorders / Intraocular Pressure Limits: Humans / Male Language: Korean Journal: Journal of the Korean Ophthalmological Society Year: 2020 Type: Article