Fixed mydriatic pupil associated with an intraocular pressure rise as a complication of the implant of a Phakic Refractive Lens (PRL).
We describe a case report of a patient that was implanted with a posterior chamber phakic intraocular lens (Phakic Refractive Lens, PRL) for the correction of moderate myopia and who developed postoperatively a fixed mydriasis compatible with an Urrets-Zavalia Syndrome (UZS). Specifically, a sudden acute increase of IOP in the left eye was observed in the immediate postoperative period. After IOP stabilization, the refractive result was good, but a fixed and mydriatic pupil appeared. This condition led the patient to experience visual discomfort, halos, and glare associated with high levels of higher-order aberrations in spite of the good visual result. A tinted-contact lens was fitted in order to minimize those symptoms. The UZS should be considered as a possible complication after implantation of posterior chamber phakic intraocular lenses.
Department of Ophthalmology (Oftalmar), Medimar International Hospital , Alicante , Spain .
Rafael José
RJ
Pérez-Cambrodí
David Pablo
DP
Piñero-Llorens
Juan Pedro
JP
Ruiz-Fortes
Francisco Javier
FJ
Blanes-Mompó
Alejandro
A
Cerviño-Expósito
D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D015878:Mydriasis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D009216:Myopia / Q000601:surgery*; D009798:Ocular Hypertension / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D054120:Phakic Intraocular Lenses / Q000009:adverse effects*; D013396:Suction / Q000379:methods; D014792:Visual Acuity
D000959:Antihypertensive Agents
Iris atrophy; Urrets-Zavalia syndrome; mydriasis; phakic intraocular lens; secondary glaucoma