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Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 364-367

A rare case of Urrets-Zavalia syndrome following trabeculectomy in a pediatric patient

Glaucoma Services, Dr. Shroff's Charity Eye Hospital, Delhi, India

Correspondence Address:
Tripti Johri
Dr. Shroff Charity Eye Hospital, Daryaganj, Delhi - 110 002
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJO.IJO_2558_22

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A child with bilateral advanced steroid-induced glaucoma and uncontrolled intraocular pressure (IOP) on maximum medical therapy underwent trabeculectomy surgery. The eye developed a dense anterior chamber inflammation with a high IOP in the postoperative period, which was managed medically. The IOP got controlled in the following visits, but the pupil remained mid-dilated, fixed, and nonreactive to pilocarpine, and a provisional diagnosis of Urrets-Zavalia syndrome was made. Urrets-Zavalia syndrome is a rare postsurgical complication characterized by a fixed dilated pupil with iris atrophy. This is the first such case reported in a pediatric patient following trabeculectomy.

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