Urrets-Zavalia syndrome as a complication of argon laser peripheral iridoplasty. Issue 4 (20th September 2006)

• Record Type: Journal Article
• Authors: Espana, E M; Ioannidis, A; Tello, C; Liebmann, J M; Foster, P; Ritch, R
• Is Part Of: British journal of ophthalmology. Volume 91:Issue 4(2007)
• Page Start: 427
• Page End: 429
• Publication Date: 2006-09-20
• Subjects: ALPI, argon laser peripheral iridoplasty -- IOP, intraocular pressure; Ophthalmology -- Periodicals; 617.7
• DOI: 10.1136/bjo.2006.105098
• Languages: English
• ISSNs: 0007-1161

Abstract

Abstract : Objective: To report on 8 patients who developed prolonged mydriasis after argon laser peripheral iridoplasty (ALPI). Design: Retrospective case series. Methods: A review of the charts of 8 patients with persistent occludable angles after laser iridotomy who developed mydriasis after undergoing ALPI. Results: 12 eyes of 8 patients (mean age 50.2, standard deviation 6.9, range 40–61 years) developed persistent dilatation. 7 of 8 patients had plateau iris syndrome. Only one patient had a decrease in visual acuity. Intraocular pressure increased only in 1 eye and remained stable or decreased in the others. Of the 8 patients, 7 had blurred vision, 2 had photophobia, 4 had glare and 1 had discomfort. The pupillary response to pilocarpine instillation was minimal or absent. Mydriasis eventually resolved in all eyes without treatment. Conclusion: ALPI can be complicated by mydriasis unresponsive to pilocarpine. Mydriasis and accompanying symptoms resolved spontaneously within 1 year in most patients.