View abstract

This abstract is assigned to session BSCRS Free papers

Title

Urrets-Zavalia syndrome after intraocular refractive surgery

Purpose	To discuss the possibility of Urrets-Zavalia syndrome after various types of intraocular refractive surgery
Methods	Three eyes of three patients underwent uneventful refractive surgery : one patient had a phakic intraocular lens implant (Artiflex) for high myopia, another patient underwent clear lens extraction for high myopia, and a third patient had a ICL phakic intraocular lens implant. All three eyes developed high postoperative intraocular pressure with a subsequent fixed dilated pupil (Urrets-Zavalia syndrome).
Results	Results Two out of three patients had a permanently fixed semi dilated pupil and continued to complain about photophobia. Possible treatment options include either a conservative approach by using soft coloured contact lenses, or more invasive procedures. These would consist of removal of the phakic IOL, subsequent phacoemulsification and use of large diameter rigid iris diaphragms, overlapping interdigitating iris rings, capsular tension rings with opaque iris segments, intracapsular Hermeking iris prosthetic system implants, or custom iris implants with enclavation fixation
Conclusion	Urrets-Zavalia syndrome is a rare but real complication even after uneventful intraocular refractive surgery. Care must be given to prevent potential intraocular pressure spikes in the immediate postoperative period.

Author 1

Last name	GOES
Initials	FM
Department	Goes Eye Centre
City	Antwerp

Author 2

Last name	Claerhout
Initials	I
Department	UZ Gent
City	Gent

Author 3

Last name	Kestelyn
Initials	P
Department	UZ Gent
City	Gent