J Korean Ophthalmol Soc > Volume 49(11); 2008 > Article
Journal of the Korean Ophthalmological Society 2008;49(11):1857-1861.
DOI: https://doi.org/10.3341/jkos.2008.49.11.1857    Published online November 15, 2008.
Three Cases of Urrets-Zavalia Syndrome Following Deep Lamellar Keratoplasty (DLKP).
Chang Il Ha, Jung Il Park, Suk Kyue Choi, Jong Hyun Lee, Jin Hyoung Kim, Do Hyung Lee
Department of Ophthalmology, Ilsan Paik Hospital, Inje University College of Medicine, Gyeonggi-do, Korea. dhlee@ilsanpaik.ac.kr
심부표층각막이식 후 발생한 유렛-자발리아 증후군 3예
하창일ㆍ박정일ㆍ최석규ㆍ이종현ㆍ김진형ㆍ이도형
Department of Ophthalmology, Ilsan Paik Hospital, Inje University College of Medicine, Gyeonggi-do, Korea
Abstract
PURPOSE
To report three cases of Urrets-Zavalia syndrome after deep lamellar keratoplasty. CASE SUMMARY: A retrospective chart analysis of two men who underwent deep lamellar keraplasty after corneal chemical burns and one woman who was treated with deep lamellar keratoplasty due to lattice dystrophy was performed. To maintain the anterior chamber depth and prevent formation of a double anterior chamber after deep lamellar keratoplasty, air or gas (C3F8) was injected into the anterior chamber for all three cases. After injections of air or gas (C3F8) into the anterior chamber, pupillary blocks occurred and intraocular pressures increased. Afterwards, intraocular pressures were well-controlled, but the pupil remained irreversibly fixed and dilated despite the use of miotics. CONCLUSIONS: Urrets-Zavalia syndrome, a postoperative complication, was first reported in a patient who underwent penetrating keratoplasty for keratoconus. This syndrome can also occur after deep lamellar keratoplasty on rare occasions.
Key Words: Deep lamellar keratoplasty;Fixed dilated pupil;Urrets-Zavalia syndrome


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