Urrets-Zavalia syndrome after deep anterior lamellar keratoplasty

Author:

Jovanovic Vesna1,Nikolic Ljubisa2

Affiliation:

1. Faculty of Medical Dentistry, Belgrade + Eye Clinic, University Medical Centre Zvezdara, Belgrade

2. Faculty of Medical Dentistry, Belgrade + Oculus Eye Infirmary, Belgrade

Abstract

Introduction. Urrets-Zavalia syndrome is an uncommon complication of the deep anterior lamellar keratoplasty in keratoconus. The manifestations of this syndrome are an irreversible mydriasis, iris atrophy and secondary glaucoma. Case report. Deep anterior lamellar keratoplasty was done for keratoconus with a presumably healed corneal hydrops in a 21-year-old Caucasian man. The graft remained clear, but the surgery was complicated by a fixed, dilated pupil, patches of iris atrophy, ectropium of the iris pigment layer and glaukomflecken in the lens. Conclusion. Although safer than penetrating keratoplasty, the deep anterior lamellar by not trying to secure an unhealed Descemet?s membrane with air. Instead, a new Descemet?s membrane transplanted within a penetrating graft is a safer choice.

Publisher

National Library of Serbia

Subject

Pharmacology (medical),General Medicine

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Urrets-Zavalia Syndrome Following Cataract Surgery;Case Reports in Ophthalmology;2021-07-20

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