Fixed dilated pupil (urrets-zavalia syndrome) and anterior subcapsular cataract formation after descemet stripping endothelial keratoplasty.
OBJECTIVE
To report a fixed dilated pupil and anterior subcapsular cataract formation following Descemet stripping endothelial keratoplasty (DSAEK).


METHODS
A 47-year-old man with Fuchs endothelial dystrophy underwent DSAEK of the right eye. The preoperative slit lamp examination was normal. Mydriatic drops were used at the end of procedure.


RESULTS
Postoperatively, the pupil remained fixed and dilated with no right direct or consensual response to light, or constriction during accommodation throughout a 1-year follow-up period. Slit lamp examination after air resorption revealed a transient anterior subcapsular cataract and posterior synechiae. Based on these findings, a diagnosis of Urrets-Zavalia syndrome was made.


CONCLUSIONS
To our knowledge, this is the first report of Urrets-Zavalia syndrome after DSAEK.
Fournié
Pierre
P
CHU Toulouse, Hôpital Purpan, Université Toulouse III Paul Sabatier, France. pierrefournie@yahoo.com
Ponchel
Corinne
C
Malecaze
François
F
Arné
Jean-Louis
JL
D001284:Atrophy; D002386:Cataract / Q000209:etiology*; D003315:Cornea / Q000473:pathology; D057111:Descemet Stripping Endothelial Keratoplasty / Q000009:adverse effects*; D005500:Follow-Up Studies; D005642:Fuchs' Endothelial Dystrophy / Q000601:surgery; D006801:Humans; D007499:Iris Diseases / Q000209:etiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D015878:Mydriasis / Q000209:etiology* / Q000503:physiopathology; D011184:Postoperative Period; D013577:Syndrome; D013997:Time Factors; D014792:Visual Acuity