Alfonso Savastano^1,2, Davide Brando²*, Umberto De Vico¹, Gloria Gambini¹ and Stanislao Rizzo^1,2

¹Unit of Ophthalmology, Fondazione Policlinico “A. Gemelli” - IRCCS, Rome, Italy
²Unit of Ophthalmology, Università Cattolica Sacro Cuore, Rome, Italy

*Corresponding Author: Davide Brando, Unit of Ophthalmology, Università Cattolica Sacro Cuore, Rome, Italy.

Received: August 11, 2022; Published: August 24, 2022

Abstract

Introduction: Implantable collamer lens (ICL) implantation is a predictable type of refractive surgery to moderate to high refractive errors. Urrets-Zavalia Syndrome (UZS), first described as a fixed and dilated pupil following penetrating keratoplasty in patient receiving atropine, is now considered a complication of any surgical manipulation of anterior segment.

Patient and Clinical Findings: We reported a case of a female patient affected by bilateral high myopia, who developed UZS and subcapsular cataract after ICL implant in her left eye (LE). This last suffered of Posner-Schlossman syndrome (PS) 6 years before without sequelae.

Diagnosis, Intervention, and Outcomes: A fixed dilated pupil not responsive to dapiprazol was noted in absence of corneal edema or rise of IOP in LE after uncomplicated ICL implant; UZS was therefore diagnosed. Two months later, a second surgery for ICL removal, phacoemulsification and artificial intraocular lens implant was performed for cortical cataract development. The uncorrected distance visual acuity (UDVA) one month after surgery was of 20/20.

Conclusions: Very few cases of UZS have been described after ICL implantation. We supposed a mechanism of a suffering iris tissue from the previous PS and inflammatory reaction to the intraoperative fluid exchange which lead to cataract development as well.

Keywords: Urrets-Zavalia Syndrome; Posner-Schlossman Syndrome; Implantable Collamer Lens; Refractive Surgery; Cataract Surgery

References

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Citation

Citation: Davide Brando., et al. “Urrets Zavalia Syndrome and Cataract After Implantable Collamer Lens Implant in Previous Posner-Schlossman Syndrome".Acta Scientific Ophthalmology 5.9 (2022): 29-32.

Copyright

Copyright: © 2022 Davide Brando., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.