6533b7dcfe1ef96bd1271e39
RESEARCH PRODUCT
Fixed Mydriatic Pupil Associated with an Intraocular Pressure Rise as a Complication of the Implant of a Phakic Refractive Lens (PRL)
Juan Pedro Ruiz-fortesFrancisco J. Blanes-mompóRafael J. Pérez-cambrodíAlejandro Cerviño-expósitoDavid P. Piñero-llorenssubject
AdultPhakic Intraocular Lensesmedicine.medical_specialtygenetic structuresVisual AcuityVisual DiscomfortSuctionPhakic intraocular lensPhakic intraocular lensIris atrophyLens Implantation IntraocularOphthalmologyMyopiamedicineMydriasisHumansAntihypertensive AgentsIntraocular PressureÓpticabusiness.industryMydriasisGlare (vision)General MedicineRefractive lensCombined Modality Therapyeye diseasesOphthalmologymedicine.anatomical_structureSecondary glaucomaLens (anatomy)OptometryFemaleOcular Hypertensionsense organsImplantmedicine.symptomComplicationbusinessUrrets-Zavalia syndromedescription
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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2013-09-27 | Seminars in Ophthalmology |