Urrets-Zavalia syndrome following placement of scleral-sutured intraocular lens

Mohamed M Sylla; Samuel Gelnick; Ilya Leskov

doi:10.1016/j.ajoc.2024.102010

Urrets-Zavalia syndrome following placement of scleral-sutured intraocular lens

Am J Ophthalmol Case Rep. 2024 Feb 9:34:102010. doi: 10.1016/j.ajoc.2024.102010. eCollection 2024 Jun.

Authors

Mohamed M Sylla¹, Samuel Gelnick¹, Ilya Leskov¹

Affiliation

¹ SUNY Downstate Health Sciences University, Brooklyn, NY, 11203, USA.

Abstract

Purpose: To report a novel case of Urrets-Zavalia syndrome (UZS).

Observation: A 59-year-old man underwent removal of a dislocated intraocular lens and placement of a scleral-sutured intraocular lens. After surgery, the pupil in the operative eye was dilated, fixed, and unresponsive to constricting drops.

Conclusion: This case expands the known etiology of UZS. Possible preventative measures may include pre-operative screening for plateau iris and intra-operative use of iris hooks instead of pharmacological dilation.

Keywords: Dilated pupil; Fixed pupil; Plateau iris; Scleral sutured intraocular lens; Secondary intraocular lens; Urrets-Zavalia syndrome.

Publication types

Case Reports