Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 5 Issue 9

Urrets Zavalia Syndrome and Cataract After Implantable Collamer Lens Implant in Previous Posner-Schlossman Syndrome

Alfonso Savastano1,2, Davide Brando2*, Umberto De Vico1, Gloria Gambini1 and Stanislao Rizzo1,2

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

  1. Spierer Oriel and Moshe Lazar. “Urrets-Zavalia syndrome (fixed and dilated pupil following penetrating keratoplasty for keratoconus) and its variants”. Survey of Ophthalmology3 (2014): 304-310.
  2. Huang, David., et al. “Phakic intraocular lens implantation for the correction of myopia: a report by the American Academy of Ophthalmology”. Ophthalmology11 (2009): 2244-2258.
  3. Packer Mark. “The Implantable Collamer Lens with a central port: review of the literature”. Clinical Ophthalmology (Auckland, N.Z.) 12 (2018): 2427-2438.
  4. Visian ICL. Product Information. (2005): 1-21.
  5. Jastaneiah Sabah., et al. “Fixed dilated pupil after penetrating keratoplasty for macular corneal dystrophy and keratoconus”. American Journal of Ophthalmology3 (2005): 484-489.
  6. Niruthisard Duangratn and Ngamjit Kasetsuwan. “Unilateral Urrets-Zavalia syndrome after Implantable Collamer Lens implantation: a case report and review of the literature”. Journal of Medical Case Reports1 (2021): 467.
  7. Gonvers Michel., et al. “Implantable contact lens for moderate to high myopia: relationship of vaulting to cataract formation”. Journal of Cataract and Refractive Surgery5 (2003): 918-924.
  8. Argirova Mariana., et al. “Redox status of the eye lens: a regional study.” Cell Biochemistry and Biophysics3 (2004): 381-390.

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.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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