Urrets-Zavalia Syndrome Following Trabeculectomy.

Park, Gi Seok; Won, Yeo Kyoung; Kim, Kyoung Nam; Lee, Yeon Hee; Kim, Chang sik

doi:2020.61.2.221

J Korean Ophthalmol Soc > Volume 61(2); 2020 > Article

Case Report

Journal of the Korean Ophthalmological Society 2020;61(2):221-225.
DOI: https://doi.org/10.3341/jkos.2020.61.2.221 Published online February 15, 2020.

Urrets-Zavalia Syndrome Following Trabeculectomy.

Gi Seok Park, Yeo Kyoung Won, Kyoung Nam Kim, Yeon Hee Lee, Chang sik Kim

Department of Ophthalmology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea. kknace@cnuh.co.kr

섬유주절제술 후 발생한 유렛-자발리아 증후군

박지석 · 원여경 · 김경남 · 이연희 · 김창식

충남대학교 의과대학 충남대학교병원 안과학교실

Correspondence: Kyoung Nam Kim,
Email: kknace@cnuh.co.kr

Received: 26 July 2019 • Revised: 6 September 2019 • Accepted: 20 January 2020

Abstract

PURPOSE
We report a case of Urrets-Zavalia syndrome with a fixed dilated pupil after an uneventful trabeculectomy. CASE SUMMARY: Trabeculectomy was performed on a 51-year-old male who had a history of recurrent uveitis in the left eye, with uncontrolled intraocular pressure despite maximally-tolerated medial therapy. There was no unexpected event during surgery. Topical 1% atropine was used for only 2 days after surgery. In the early postoperative period, 1% prednisolone and 0.3% ofloxacin were given four times a day, then gradually reduced. One month later, only 1% prednisolone was given once a day. Intraocular pressure in his left eye was well controlled from 8–14 mmHg after surgery. One month after surgery, the pupils remained dilated. There was no reaction to topical 2% pilocarpine and no relative afferent pupillary defect or posterior synechia. CONCLUSIONS: Our case, although rare, suggests that Urrets-Zavalia syndrome should be considered in patients with well-controlled intraocular pressure after uneventful trabeculectomy.

Key Words: Dilation;Pathologic;Pupil;Trabeculectomy;Urrets-Zavalia syndrome