심부표층각막이식 후 발생한 유렛-자발리아 증후군 3예

• 영문명: Three Cases of Urrets-Zavalia Syndrome Following Deep Lamellar Keratoplasty (DLKP)
• 발행기관: 대한안과학회
• 저자명: 하창일 박정일 최석규 이종현 김진형 이도형,Chang Il Ha, M.D., Jung Il Park, M.D., Suk Kyue Choi, M.D., Jong Hyun Lee, M.D., Jin Hyoung Kim, M.D., Do Hyung Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number11, 1857~1861쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.11.15

영문 초록

Purpose: To report three cases of Urrets-Zavalia syndrome after deep lamellar keratoplasty. Case summary: A retrospective chart analysis of two men who underwent deep lamellar keraplasty after corneal chemical burns and one woman who was treated with deep lamellar keratoplasty due to lattice dystrophy was performed. To maintain the anterior chamber depth and prevent formation of a double anterior chamber after deep lamellar keratoplasty, air or gas (C3F8) was injected into the anterior chamber for all three cases. After injections of air or gas (C3F8) into the anterior chamber, pupillary blocks occurred and intraocular pressures increased. Afterwards, intraocular pressures were well-controlled, but the pupil remained irreversibly fixed and dilated despite the use of miotics. Conclusions: Urrets-Zavalia syndrome, a postoperative complication, was first reported in a patient who underwent penetrating keratoplasty for keratoconus. This syndrome can also occur after deep lamellar keratoplasty on rare occasions. J Korean Ophthalmol Soc 2008;49(11):1857-1861

키워드

Deep lamellar keratoplasty, Fixed dilated pupil, Urrets-Zavalia syndrome