巩膜缝合人工晶状体植入术后的乌雷茨-扎瓦利亚综合征。
Urrets-Zavalia syndrome following placement of scleral-sutured intraocular lens.
作者信息
Sylla Mohamed M, Gelnick Samuel, Leskov Ilya
机构信息
SUNY Downstate Health Sciences University, Brooklyn, NY, 11203, USA.
出版信息
Am J Ophthalmol Case Rep. 2024 Feb 9;34:102010. doi: 10.1016/j.ajoc.2024.102010. eCollection 2024 Jun.
PURPOSE
To report a novel case of Urrets-Zavalia syndrome (UZS).
OBSERVATION
A 59-year-old man underwent removal of a dislocated intraocular lens and placement of a scleral-sutured intraocular lens. After surgery, the pupil in the operative eye was dilated, fixed, and unresponsive to constricting drops.
CONCLUSION
This case expands the known etiology of UZS. Possible preventative measures may include pre-operative screening for plateau iris and intra-operative use of iris hooks instead of pharmacological dilation.
目的
报告一例新型乌雷茨 - 扎瓦利亚综合征（UZS）病例。
观察
一名59岁男性接受了脱位人工晶状体摘除术并植入巩膜缝合人工晶状体。术后，术眼瞳孔散大、固定，对缩瞳剂无反应。
结论
该病例扩展了已知的UZS病因。可能的预防措施包括术前筛查高原虹膜以及术中使用虹膜钩而非药物散瞳。
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