Innovation Urrets-Zavalia syndrome

Background: Surgeons often notice unexplained dilation of the pupil following an uncomplicated intra-ocular surgery. No definite line of treatment has been proposed for managing Urrets-Zavalia syndrome (UZS). The authors have previously documented the results of surgical pupilloplasty and have outli...

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Main Authors: Priya Narang, Rhea Narang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=8;spage=3166;epage=3166;aulast=Narang
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author Priya Narang
Rhea Narang
author_facet Priya Narang
Rhea Narang
author_sort Priya Narang
collection DOAJ
description Background: Surgeons often notice unexplained dilation of the pupil following an uncomplicated intra-ocular surgery. No definite line of treatment has been proposed for managing Urrets-Zavalia syndrome (UZS). The authors have previously documented the results of surgical pupilloplasty and have outlined this modality of treatment for cases with UZS. Purpose: To highlight the aspect of development of UZS post-operatively in the eyes following an intra-ocular surgery. Synopsis: The video highlights the aspect of prevalence of the persistently dilated pupil that is non-responsive to topical miotics. Apart from associated glare, these cases often have raised intra-ocular pressure because of appositional closure of the anterior chamber angle. Surgical pupilloplasty pulls the iris tissue centrally, eventually releasing the mechanical blockage and often breakage of the peripheral anterior synechias as demonstrated by intra-operative gonioscopy and anterior segment optical coherence tomography. Highlights: Performing a surgical pupilloplasty can resolve the UZS, and timely intervention can also prevent the development of secondary glaucoma because of fallback of the iris tissue on the structures of the anterior chamber angle. Online Video Link: https://youtu.be/IF_w8dVk5_w
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spelling doaj.art-7ab0c2bac7fb47829a0f9962d0f4e3722022-12-22T02:49:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-017083166316610.4103/ijo.IJO_896_22Innovation Urrets-Zavalia syndromePriya NarangRhea NarangBackground: Surgeons often notice unexplained dilation of the pupil following an uncomplicated intra-ocular surgery. No definite line of treatment has been proposed for managing Urrets-Zavalia syndrome (UZS). The authors have previously documented the results of surgical pupilloplasty and have outlined this modality of treatment for cases with UZS. Purpose: To highlight the aspect of development of UZS post-operatively in the eyes following an intra-ocular surgery. Synopsis: The video highlights the aspect of prevalence of the persistently dilated pupil that is non-responsive to topical miotics. Apart from associated glare, these cases often have raised intra-ocular pressure because of appositional closure of the anterior chamber angle. Surgical pupilloplasty pulls the iris tissue centrally, eventually releasing the mechanical blockage and often breakage of the peripheral anterior synechias as demonstrated by intra-operative gonioscopy and anterior segment optical coherence tomography. Highlights: Performing a surgical pupilloplasty can resolve the UZS, and timely intervention can also prevent the development of secondary glaucoma because of fallback of the iris tissue on the structures of the anterior chamber angle. Online Video Link: https://youtu.be/IF_w8dVk5_whttp://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=8;spage=3166;epage=3166;aulast=Narangdilated pupilsftsingle-pass four-throwsurgical pupilloplastyurrets-zavaliauzs
spellingShingle Priya Narang
Rhea Narang
Innovation Urrets-Zavalia syndrome
Indian Journal of Ophthalmology
dilated pupil
sft
single-pass four-throw
surgical pupilloplasty
urrets-zavalia
uzs
title Innovation Urrets-Zavalia syndrome
title_full Innovation Urrets-Zavalia syndrome
title_fullStr Innovation Urrets-Zavalia syndrome
title_full_unstemmed Innovation Urrets-Zavalia syndrome
title_short Innovation Urrets-Zavalia syndrome
title_sort innovation urrets zavalia syndrome
topic dilated pupil
sft
single-pass four-throw
surgical pupilloplasty
urrets-zavalia
uzs
url http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=8;spage=3166;epage=3166;aulast=Narang
work_keys_str_mv AT priyanarang innovationurretszavaliasyndrome
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