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Pupila dilatada fixa (síndrome de Urrets-Zavalia) após ceratoplastia lamelar profunda / Fixed dilated pupil (Urrets-Zavalia syndrome) after deep lamellar keratoplasty
Batista, Jefferson Luiz Alves; Grisolia, Ana Beatriz Diniz; Pazos, Henrique Baltar; Nogueira Filho, Pedro Antonio; Gomes, José Álvaro Pereira.
Affiliation
  • Batista, Jefferson Luiz Alves; Instituto Suel Abujamra. São Paulo. BR
  • Grisolia, Ana Beatriz Diniz; Instituto Suel Abujamra. São Paulo. BR
  • Pazos, Henrique Baltar; Instituto Suel Abujamra. São Paulo. BR
  • Nogueira Filho, Pedro Antonio; Instituto Suel Abujamra. São Paulo. BR
  • Gomes, José Álvaro Pereira; UNIFESP. Departamento de Oftalmologia. BR
Rev. bras. oftalmol ; 70(4): 248-251, jul.-ago. 2011. ilus
Article in Pt | LILACS | ID: lil-601025
Responsible library: BR1.2
RESUMO
A Síndrome de Urrets-Zavalia apresenta achados oculares bem descritos, porém sua fisiopatologia ainda é incerta. A isquemia iriana é o mecanismo proposto mais comum. Descrevemos dois casos submetidos à ceratoplastia lamelar profunda (CLP) realizadas pelo mesmo cirugião que desenvolveram a síndrome. No primeiro caso, a indicação cirúrgica foi para o tratamento de opacidade corneana e, no segundo, para o de ceratocone. No pós-operatório, ambos os pacientes evoluíram com pupila dilatada fixa que não regrediu totalmente apesar do tratamento administrado.
ABSTRACT
The Urrets-Zavalia Syndrome presents well described ocular findings, even though its physiopathology is still unsure. Iris ischemia is the most common proposing mechanism. We describe two cases that underwent deep lamellar keratoplasty (DLK) performed by the same surgeon and developed the syndrome. In the first case, the surgical indication was for corneal opacity treatment and, in the second case, for keratoconus treatment. During the post-operatory, both patients developed fixed dilated pupil, which didn't regress completely inspite of the onset treatment.
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Full text: 1 Collection: 01-internacional Database: LILACS Main subject: Pilocarpine / Mydriasis / Corneal Transplantation / Corneal Opacity / Keratoconus Type of study: Diagnostic_studies / Etiology_studies Limits: Adult / Female / Humans / Male Language: Pt Journal: Rev. bras. oftalmol Journal subject: OFTALMOLOGIA Year: 2011 Document type: Article Affiliation country: Brazil

Full text: 1 Collection: 01-internacional Database: LILACS Main subject: Pilocarpine / Mydriasis / Corneal Transplantation / Corneal Opacity / Keratoconus Type of study: Diagnostic_studies / Etiology_studies Limits: Adult / Female / Humans / Male Language: Pt Journal: Rev. bras. oftalmol Journal subject: OFTALMOLOGIA Year: 2011 Document type: Article Affiliation country: Brazil
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