Urrets-Zavalia syndrome following posterior segment surgery: Case report and review of literature
Introduction. Urrets-Zavalia syndrome (UZS) has been defined as a fixed and dilated pupil accompanied by iris atrophy and occasionally secondary glaucoma. The precise cause of the syndrome is uncertain. Most often it has been described following anterior segment surgery. The objective of this articl...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2019-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2019/0370-81791900015V.pdf |
| _version_ | 1818383155497795584 |
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| author | Vuković Dragan R. Adžić Antoaneta Petrović-Pajić Sanja |
| author_facet | Vuković Dragan R. Adžić Antoaneta Petrović-Pajić Sanja |
| author_sort | Vuković Dragan R. |
| collection | DOAJ |
| description | Introduction. Urrets-Zavalia syndrome (UZS) has been defined as a fixed and dilated pupil accompanied by iris atrophy and occasionally secondary glaucoma. The precise cause of the syndrome is uncertain. Most often it has been described following anterior segment surgery. The objective of this article is to present how to successfully handle patients with UZS after posterior segment surgery. We present all the dilemmas and difficulties we encountered during the diagnostic process. Case outline. This is a case presentation of a patient with UZS following scleral buckle procedure. To our knowledge, this is the first case of UZS following this type of posterior segment surgery. The delay in treatment was mostly due to the lack of knowledge about the linkage of this syndrome with posterior segment surgery. Once the diagnosis was confirmed, parasympathomimetic drops were administered. The patient responded well to the therapy and partial reduction of mydriasis and restoration of pupillary kinetics was observed. Conclusion. Two months after surgery, the treatment of UZS resulted in slight residual anisocoria with signs of iris atrophy. This could indicate reversible mechanism of UZS after posterior segment surgery with iris atrophy as the only permanent consequence. |
| first_indexed | 2024-12-14T03:01:52Z |
| format | Article |
| id | doaj.art-d0a1bdfd75a3404ba222507ae9a93476 |
| institution | Directory Open Access Journal |
| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-14T03:01:52Z |
| publishDate | 2019-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-d0a1bdfd75a3404ba222507ae9a934762022-12-21T23:19:29ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792019-01-011479-1063663810.2298/SARH180206015V0370-81791900015VUrrets-Zavalia syndrome following posterior segment surgery: Case report and review of literatureVuković Dragan R.0Adžić Antoaneta1Petrović-Pajić Sanja2University of Belgrade, Faculty of Medicine, Belgrade, Serbia + Clinical Center of Serbia, Clinic of Eye Diseases, Belgrade, SerbiaUniversity of Montenegro, Faculty of Medicine, Clinic of Eye Disease, Clinical Centre of Montenegro, Podgorica, MontenegroClinical Center of Serbia, Clinic of Eye Diseases, Belgrade, SerbiaIntroduction. Urrets-Zavalia syndrome (UZS) has been defined as a fixed and dilated pupil accompanied by iris atrophy and occasionally secondary glaucoma. The precise cause of the syndrome is uncertain. Most often it has been described following anterior segment surgery. The objective of this article is to present how to successfully handle patients with UZS after posterior segment surgery. We present all the dilemmas and difficulties we encountered during the diagnostic process. Case outline. This is a case presentation of a patient with UZS following scleral buckle procedure. To our knowledge, this is the first case of UZS following this type of posterior segment surgery. The delay in treatment was mostly due to the lack of knowledge about the linkage of this syndrome with posterior segment surgery. Once the diagnosis was confirmed, parasympathomimetic drops were administered. The patient responded well to the therapy and partial reduction of mydriasis and restoration of pupillary kinetics was observed. Conclusion. Two months after surgery, the treatment of UZS resulted in slight residual anisocoria with signs of iris atrophy. This could indicate reversible mechanism of UZS after posterior segment surgery with iris atrophy as the only permanent consequence.http://www.doiserbia.nb.rs/img/doi/0370-8179/2019/0370-81791900015V.pdfurrets-zavalia syndromeretinal detachmentscleral bucklingpars plana vitrectomy |
| spellingShingle | Vuković Dragan R. Adžić Antoaneta Petrović-Pajić Sanja Urrets-Zavalia syndrome following posterior segment surgery: Case report and review of literature Srpski Arhiv za Celokupno Lekarstvo urrets-zavalia syndrome retinal detachment scleral buckling pars plana vitrectomy |
| title | Urrets-Zavalia syndrome following posterior segment surgery: Case report and review of literature |
| title_full | Urrets-Zavalia syndrome following posterior segment surgery: Case report and review of literature |
| title_fullStr | Urrets-Zavalia syndrome following posterior segment surgery: Case report and review of literature |
| title_full_unstemmed | Urrets-Zavalia syndrome following posterior segment surgery: Case report and review of literature |
| title_short | Urrets-Zavalia syndrome following posterior segment surgery: Case report and review of literature |
| title_sort | urrets zavalia syndrome following posterior segment surgery case report and review of literature |
| topic | urrets-zavalia syndrome retinal detachment scleral buckling pars plana vitrectomy |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2019/0370-81791900015V.pdf |
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