RT Journal Article
SR Electronic
T1 Urrets-Zavalia syndrome as a complication of argon laser peripheral iridoplasty
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 427
OP 429
DO 10.1136/bjo.2006.105098
VO 91
IS 4
A1 Espana, E M
A1 Ioannidis, A
A1 Tello, C
A1 Liebmann, J M
A1 Foster, P
A1 Ritch, R
YR 2007
UL http://bjo.bmj.com/content/91/4/427.abstract
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.