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Surgical approach of Urretz-Zavalia syndrome and cataract after dee p lamellar keratoplasty

Surgical approach of Urretz-Zavalia syndrome and cataract after dee p lamellar keratoplasty. DARIUSZ DOBROWOLSKI ¹ , EDWARD WYLĘGAŁA ¹ ² , DOROTA TARNAWSKA ¹ ¹ Dept. of Ophthalmology, District Railway Hospital, Katowice, Poland Head: Edward Wylęgała MD, PhD

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Surgical approach of Urretz-Zavalia syndrome and cataract after dee p lamellar keratoplasty

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  1. Surgical approach of Urretz-Zavalia syndrome and cataract after deep lamellar keratoplasty DARIUSZ DOBROWOLSKI¹, EDWARD WYLĘGAŁA¹², DOROTA TARNAWSKA¹ ¹Dept. of Ophthalmology, District Railway Hospital, Katowice, Poland Head: Edward Wylęgała MD, PhD ² Dept.of Nursing and Social Medical Issues, Healthcare Division, Silesian Medical University, Katowice, Poland Head: Edward Wylęgała MD, PhD ASCRS 2008

  2. Purpose To present surgical management and outcomes of cataract surgery combined with plastics of Urretz-Zavalia syndrome pupil in eyes, which underwent deep anterior lamellar keratoplasty (DALK)

  3. Material • Interventional case series study • 4 eyes operated for keratoconus developed Urretz-Zavalia pupil after surgery • In all cases anterior chamber was filled with air to achieve better graft adhesion • Subjects: 3 men and 1 woman, mean age of 29,5±6,4 years

  4. Methods Surgery:2,8 mm incision coaxial phacoemulsification with Duovisc viscoelastics to protect endothelial cells Pupil was narrowed with two 10-0 Nylon sutures at 3 and 9 (enter via clear cornea)

  5. Results • Spectacle corrected visual acuity 6 months after surgery was 0,62±0,2, if compared with preoperative 0,39±0,17 • Narrowed pupil size with the suture significantly improved vision (p<0,05) • Despite of one IOL partial dislocation, there was no compliance for blurred vision • ECD, pachymetry, astigamaism were evaluated preoperatively and 6 months after surgery

  6. Results Endothelail cell density (per mm²), corneal pachymetry (mm), astigmatism (D)

  7. Conclusion Surgical narrowing of Urretz-Zavalia pupil after DALK during cataract surgery is a safe method to improve quality of vision

  8. Thank You For Your Attention

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