Kymionis George D, Grentzelos Michael A, Stojanovic Nela, Paraskevopoulos Theodore A, Detorakis Efstathios T
Vardinoyiannion Eye Institute of Crete (VEIC), Faculty of Medicine, University of Crete, Heraklion, 71003 Crete, Greece ; Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, FL 33136, USA.
Vardinoyiannion Eye Institute of Crete (VEIC), Faculty of Medicine, University of Crete, Heraklion, 71003 Crete, Greece.
Case Rep Ophthalmol Med. 2014;2014:487860. doi: 10.1155/2014/487860. Epub 2014 Sep 8.
Purpose. To report a case with transient anisocoria after corneal collagen cross-linking (CXL). Methods. Case report. Results. A 24-year-old male underwent corneal collagen cross-linking (CXL) in his right eye for keratoconus. At the end of the procedure, the pupil of the treated eye was irregular and dilated, while the pupil of the fellow eye was round, regular, and reactive (anisocoria). The following day, pupils were round, regular, and reactive in both eyes. Conclusion. Anisocoria may be a transient and innocuous complication after CXL. A possible cause for this complication might be the anesthetic drops used before and during the surgical procedure or/and the ultraviolet A irradiation during the treatment.
目的。报告一例角膜胶原交联（CXL）术后出现短暂性瞳孔不等大的病例。方法。病例报告。结果。一名24岁男性因圆锥角膜接受右眼角膜胶原交联（CXL）治疗。手术结束时，患眼瞳孔不规则且散大，而对侧眼瞳孔圆形、规则且有反应（瞳孔不等大）。次日，双眼瞳孔圆形、规则且有反应。结论。瞳孔不等大可能是CXL术后一种短暂且无害的并发症。该并发症的一个可能原因可能是手术前及手术过程中使用的麻醉滴眼液或/和治疗过程中的紫外线A照射。
