Fixed dilated pupil (Urrets-Zavalia syndrome) in corneal dystrophies.
OBJECTIVE
To report fixed dilated pupil following penetrating keratoplasty for corneal dystrophies.


METHODS
Retrospective chart analysis of subjects who underwent penetrating keratoplasty for corneal dystrophies between 1998 and 2002 at our institute.


RESULTS
Three of the subjects with fixed dilated pupils after penetrating keratoplasty had Macular corneal dystrophy and one subject had Fuchs Endothelial dystrophy. Fixed dilated pupils were noticed in the immediate postoperative period. None of the subjects had evidence for glaucoma either pre- or postoperatively. The follow up period ranged from 5 to 18 months.


CONCLUSIONS
Fixed dilated pupil (Urrets-Zavalia syndrome) can occur after penetrating keratoplasty for corneal dystrophies and may not be limited to eyes with keratoconus as previously reported.
Srinivasan
M
M
Cornea Service, Aravind Eye Hospital and PG Institute of Ophthalmology, 1 Anna Nagar, Madurai, Tamil Nadu, India 625-020. m.srinivasan@aravind.org
Patnaik
Lolly
L
D000328:Adult; D003317:Corneal Dystrophies, Hereditary / Q000601:surgery*; D005260:Female; D005642:Fuchs' Endothelial Dystrophy / Q000601:surgery*; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011681:Pupil Disorders / Q000209:etiology* / Q000473:pathology; D013577:Syndrome