Qi Ziqiao, Mukhija Ritika, Nanavaty Mayank A
University Hospitals Sussex NHS Foundation Trust, Brighton, UK.
University Hospitals Sussex NHS Foundation Trust, Brighton, UK
BMJ Case Rep. 2024 Dec 15;17(12):e261684. doi: 10.1136/bcr-2024-261684.
Urrets-Zavalia syndrome (UZS) stands out as a rare yet clinically consequential complication associated with ophthalmic surgery, marked by the emergence of a fixed and dilated pupil. While it was originally described post-penetrating keratoplasty (PKP) in patients with keratoconus and its prevalence is notably higher following PKP, instances of UZS have been documented in the context of other procedures, including intraocular lens implantation, Descemet-stripping endothelial keratoplasty and Descemet membrane endothelial keratoplasty (DMEK). We report a unique case of bilateral UZS after uneventful DMEK surgeries, highlighting a rare but potential complication after DMEK.
乌雷茨-扎瓦利亚综合征（UZS）是一种与眼科手术相关的罕见但具有临床意义的并发症，其特征是出现固定性散大瞳孔。虽然最初是在圆锥角膜患者的穿透性角膜移植术（PKP）后被描述，且在PKP后其患病率显著更高，但UZS的病例也有在其他手术的背景下被记录，包括人工晶状体植入术、深板层内皮角膜移植术和Descemet膜内皮角膜移植术（DMEK）。我们报告了一例在DMEK手术顺利完成后发生双侧UZS的独特病例，突出了DMEK术后一种罕见但潜在的并发症。
