Srinivasan M, Patnaik Lolly
Cornea Service, Aravind Eye Hospital and PG Institute of Ophthalmology, 1 Anna Nagar, Madurai, Tamil Nadu, India 625-020.
Cornea. 2004 Jan;23(1):81-3. doi: 10.1097/00003226-200401000-00014.
To report fixed dilated pupil following penetrating keratoplasty for corneal dystrophies.
Retrospective chart analysis of subjects who underwent penetrating keratoplasty for corneal dystrophies between 1998 and 2002 at our institute.
Three of the subjects with fixed dilated pupils after penetrating keratoplasty had Macular corneal dystrophy and one subject had Fuchs Endothelial dystrophy. Fixed dilated pupils were noticed in the immediate postoperative period. None of the subjects had evidence for glaucoma either pre- or postoperatively. The follow up period ranged from 5 to 18 months.
Fixed dilated pupil (Urrets-Zavalia syndrome) can occur after penetrating keratoplasty for corneal dystrophies and may not be limited to eyes with keratoconus as previously reported.
报告角膜营养不良穿透性角膜移植术后固定性瞳孔散大情况。
对1998年至2002年在我院因角膜营养不良接受穿透性角膜移植术的患者进行回顾性病历分析。
穿透性角膜移植术后出现固定性瞳孔散大的患者中，3例患有黄斑角膜营养不良，1例患有富克斯内皮营养不良。术后即刻发现固定性瞳孔散大。所有患者术前及术后均无青光眼证据。随访时间为5至18个月。
角膜营养不良穿透性角膜移植术后可出现固定性瞳孔散大（乌雷茨 - 扎瓦利亚综合征），且可能并不像先前报道的那样仅限于圆锥角膜患者。
