PURPOSE: To report a fixed dilated pupil and anterior subcapsular cataract formation following Descemet stripping endothelial keratoplasty (DSAEK). METHODS: A 47-year-old man with Fuchs endothelial dystrophy underwent DSAEK of the right eye. The preoperative slit lamp examination was normal. Mydriatic drops were used at the end of procedure. RESULTS: Postoperatively, the pupil remained fixed and dilated with no right direct or consensual response to light, or constriction during accommodation throughout a 1-year follow-up period. Slit lamp examination after air resorption revealed a transient anterior subcapsular cataract and posterior synechiae. Based on these findings, a diagnosis of Urrets-Zavalia syndrome was made. CONCLUSION: To our knowledge, this is the first report of Urrets-Zavalia syndrome after DSAEK.
PURPOSE: To report a fixed dilated pupil and anterior subcapsular cataract formation following Descemet stripping endothelial keratoplasty (DSAEK). METHODS: A 47-year-old man with Fuchs endothelial dystrophy underwent DSAEK of the right eye. The preoperative slit lamp examination was normal. Mydriatic drops were used at the end of procedure. RESULTS: Postoperatively, the pupil remained fixed and dilated with no right direct or consensual response to light, or constriction during accommodation throughout a 1-year follow-up period. Slit lamp examination after air resorption revealed a transient anterior subcapsular cataract and posterior synechiae. Based on these findings, a diagnosis of Urrets-Zavalia syndrome was made. CONCLUSION: To our knowledge, this is the first report of Urrets-Zavalia syndrome after DSAEK.
Authors: Gustavo S Figueiredo; Sai S P Kolli; Sajjad Ahmad; Kevin Gales; Francisco C Figueiredo Journal: Graefes Arch Clin Exp Ophthalmol Date: 2012-09-11 Impact factor: 3.117