IMPLANTABLE COLLAMER LENS IMPLANTATION AND IRIS CERCLAGE FOR THE TREATMENT OF URRETS-ZAVALIA SYNDROME

Abstract

A 27-year-old woman with bilateral high myopia had anterior chamber iris-claw phakic IOL implantation in her left eye (LE) under local anesthesia, without intraoperative complications. The preoperative slitlamp examination was normal and she had no past medical history. On the second day post-operatory, she developed fixed dilated mydriasis and one month later we documented IOL subluxation. There had been no history of intra-ocular hypertension and no mydriatic drops were used. Diagnosis of Urrets-Zavalia syndrome was established. We removed the IOL and observed for six months after adapting coloured contact lens. During this time she complained about glare, photophobia and developed contact lens intolerance. We decided to implant a posterior chamber Implantable Collamer Lens (ICL) and to perform iris cerclage in the LE, with good aesthetic and refractive outcome. Posterior chamber ICL implantation with iris cerclage seems to be a simple and effective approach to this situation.

Keywords

• Implantable Collamer Lens
• Iris Cerclage
• Phakic intraocular lens
• Urrets-Zavalia syndrome