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Case Studies | Ophthalmology | India | Volume 13 Issue 1, January 2024
Urrets-Zavalia Syndrome Post ICL Surgery - A Case Report
Dr. Polu Mounika | Dr. Sudhakar Potti [4] | Dr. Haritha Veluri | Dr. Navaneeth Kumar Chiluveru | Dr. Manmeet Singh [3]
Abstract: A 23 year old male presented to us with complaints of glare, halos & decreased near visionin RE since 2weeks. Patient had undergone ICL surgery in RE for compound myopic astigmatism of SE -9.5D with normal pre op examination and corneal topography 1 month ago elsewhere. After uncomplicated ICL surgery, he presented to the previous hospital in the 2nd week with the present complaints. On examination, RE vision was 6/6 with clear cornea &IOP of 32mmHg with mid-dilated pupil of size 7mm with stable ICL were noted. Additional 250mg Acetazolamide tablet twice daily and Brimonidine 0.2% E/D 2t/d wereadvised and was referred to us after 1 week. On examination in our hospital, RE vision was 6/6 with clear cornea and lens &IOP of 20mmHg under anti-glaucoma medications, AC depth was normal, pupil size was 7mmoval irregular sluggishly reacting to light, ICLwas stable with vault of 1.5CT. We diagnosed it as Urrets-Zavalia syndrome and attributed its cause to be post operative raised intra-ocular pressure. We counselled patient regarding the condition and advised pilocarpine+timolol e/d to look for any reversibility of pupillary dilatation. After 3weeks IOP was normal and pupil remained 7mm.Patientwas counselled regarding pupilloplasty with or without ICL explantation as only ICL explantation would not have got reverse the present condition. Purpose: To discuss a delayed and rare case of Urrets-Zavalia syndrome post implantable collamer lens surgery.
Keywords: ICL Surgery, Raised intra-ocular pressure, fixed dilated pupil, pupilloplasty
Edition: Volume 13 Issue 1, January 2024,
Pages: 82 - 83