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  • Title: Urrets-Zavalia syndrome after deep anterior lamellar keratoplasty.
    Author: Jovanović V, Nikolić L.
    Journal: Vojnosanit Pregl; 2016 Oct; 73(10):973-5. PubMed ID: 29328565.
    Abstract:
    INTRODUCTION: Urrets-Zavalia syndrome is an uncommon complication of the deep anterior lamellar keratoplasty in keratoconus. The manifestations of this syndrome are an irreversible mydriasis, iris atrophy and secondary glaucoma. CASE REPORT: Deep anterior lamellar keratoplasty was done for keratoconus with a presumably healed corneal hydrops in a 21-year-old Caucasian man. The graft remained clear, but the surgery was complicated by a fixed, dilated pupil, patches of iris atrophy, ectropium of the iris pigment layer and glaukomflecken in the lens. CONCLUSION: Although safer than penetrating keratoplasty, the deep anterior lamellar by not trying to secure an unhealed Descemet’s membrane with air. Instead, a new Descemet’s membrane transplanted within a penetrating graft is a safer choice.
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