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二极管激光经巩膜睫状体光凝术后的乌雷茨-扎瓦利亚综合征

Urrets-Zavalia Syndrome After Diode Laser Transscleral Cyclophotocoagulation.

作者信息

Vieira Geraldo M, Vieira Fernando J, Ritch Robert

机构信息

*Brasília Glaucoma Center, Brasilia, DF, Brazil †Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mt. Sinai, New York, NY.

出版信息

J Glaucoma. 2017 Jul;26(7):678-682. doi: 10.1097/IJG.0000000000000666.

Abstract

OBJECTIVE

To report the occurrence of 5 cases of Urrets-Zavalia syndrome after transscleral diode laser cyclophotocoagulation (TSCPC).

DESIGN

Retrospective cases series.

METHODS

A review of the charts of 5 patients treated with TSCPC as primary glaucoma surgery who developed Urrets-Zavalia syndrome.

RESULTS

A total of 8 eyes of 5 patients developed a fixed and dilated pupil after TSCPC, unresponsive to light. A mydriatic pupil could still be observed at least 6 months after treatment in 7 of 8 eyes; however, it was asymptomatic.

CONCLUSIONS

Urrets-Zavalia syndrome is a possible complication of TSCPC, as well as of other 360-degree thermal laser procedures.

摘要

目的

报告经巩膜二极管激光睫状体光凝术(TSCPC)后5例乌雷茨 - 扎瓦利亚综合征的发生情况。

设计

回顾性病例系列。

方法

回顾5例接受TSCPC作为原发性青光眼手术治疗且发生乌雷茨 - 扎瓦利亚综合征患者的病历。

结果

5例患者共8只眼在TSCPC后出现瞳孔固定散大,对光无反应。8只眼中有7只眼在治疗后至少6个月仍可观察到散瞳瞳孔,但无症状。

结论

乌雷茨 - 扎瓦利亚综合征是TSCPC以及其他360度热激光手术可能的并发症。

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