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CASE REPORT
Urrets-Zavalia syndrome after laser-assisted in situ keratomileusis (LASIK)
  1. Kavitha Avadhani1,
  2. Gaurav Prakash2,
  3. Dhruv Srivastava3,
  4. Anitha Shakunthala4
  1. 1Uvea and Ocular Inflammation Services, NMC Specialty Hospital, Abu Dhabi, United Arab Emirates
  2. 2Department of Cornea and Refractive Surgery Services, NMC Specialty Hospital, Abu Dhabi, United Arab Emirates
  3. 3NMC Specialty Hospital, Abu Dhabi, United Arab Emirates
  4. 4Glaucoma Services, NMC Specialty Hospital, Abu Dhabi, United Arab Emirates
  1. Correspondence to Dr Gaurav Prakash, drgauravprakash{at}gmail.com

Summary

We report a case of fixed, non-reactive pupil (Urrets-Zavalia syndrome) in a 34-year-old patient following laser-assisted in situ keratomileusis (LASIK) caused probably by intermittent postoperative intraocular pressure fluctuations. This case highlights the possibility of a fixed and dilated pupil even after LASIK, a technically non-intraocular surgery, which is due to a preventable cause: postoperative intraocular pressure fluctuations. To the best of our knowledge, this is the first report of Urrets-Zavalia syndrome following LASIK.

https://doi.org/10.1136/bcr-2015-210977

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