PT  - JOURNAL ARTICLE
AU  - Espana, E M
AU  - Ioannidis, A
AU  - Tello, C
AU  - Liebmann, J M
AU  - Foster, P
AU  - Ritch, R
TI  - Urrets-Zavalia syndrome as a complication of argon laser peripheral iridoplasty
AID  - 10.1136/bjo.2006.105098
DP  - 2007 Apr 01
TA  - British Journal of Ophthalmology
PG  - 427--429
VI  - 91
IP  - 4
4099  - http://bjo.bmj.com/content/91/4/427.short
4100  - http://bjo.bmj.com/content/91/4/427.full
SO  - Br J Ophthalmol2007 Apr 01; 91
AB  - 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.