Urrets-Zavalia syndrome and secondary acute-angle closure glaucoma induced by implantable collamer lens

Implantable collamer lenses (ICL) have revolutionized the management of high refractive errors, yet they present unique challenges. We present a case of a fixed and dilated atonic pupil following acute-angle closure glaucoma from pupillary block after ICL implantation, known as Urrets-Zavalia syndrome. A 39-year-old woman developed acute ocular pain and headaches after surgery, leading to elevated intraocular pressure and subsequent complications necessitating ICL removal. This case highlights the need for prompt identification and management of elevated intraocular pressure to prevent irreversible complications such as Urrets-Zavalia syndrome following ICL implantation.

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Publication Details

Journal
Baylor University Medical Center Proceedings
Published
2024-11-08
DOI
https://doi.org/10.1080/08998280.2024.2418729
Primary Topic
Corneal surgery and disorders
Type
article
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article

Urrets-Zavalia syndrome and secondary acute-angle closure glaucoma induced by implantable collamer lens

Sruti Rachapudi, Pamela Davila-Siliezar, Noor A. Laylani, Michael S. Herron et al.
Baylor University Medical Center Proceedings
Corneal surgery and disorders
article

Urrets-Zavalia syndrome and secondary acute-angle closure glaucoma induced by implantable collamer lens

Sruti Rachapudi, Pamela Davila-Siliezar, Noor A. Laylani, Michael S. Herron, Andrew G. Lee
article en

Abstract

Implantable collamer lenses (ICL) have revolutionized the management of high refractive errors, yet they present unique challenges. We present a case of a fixed and dilated atonic pupil following acute-angle closure glaucoma from pupillary block after ICL implantation, known as Urrets-Zavalia syndrome. A 39-year-old woman developed acute ocular pain and headaches after surgery, leading to elevated intraocular pressure and subsequent complications necessitating ICL removal. This case highlights the need for prompt identification and management of elevated intraocular pressure to prevent irreversible complications such as Urrets-Zavalia syndrome following ICL implantation.

Baylor University Medical Center ProceedingsVol. 38(2)
Texas A&M Health Science Center (US), University of Nevada, Reno (US), The University of Texas MD Anderson Cancer Center (US), Cornell University (US), New York Eye and Ear Infirmary (US), University of Iowa Hospitals and Clinics (US), University of Illinois Chicago (US), Methodist Hospital (US), Weill Cornell Medicine (US), The University of Texas Medical Branch at Galveston (US), Bryan College (US)
Good health and well-being
Openalex Percentile: Top 67%
Corneal surgery and disorders
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Urrets-Zavalia syndrome and secondary acute-angle closure glaucoma induced by implantable collamer lens — Sruti Rachapudi, Pamela Davila-Siliezar, et al. · Baylor University Medical Center Proceedings (2024) | TGRS Research Map | TGRS