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OBJECTIVE: To report the occurrence of 5 cases of Urrets-Zavalia syndrome after transscleral diode laser cyclophotocoagulation (TSCPC). DESIGN: Retrospective cases series. METHODS: A review of the charts of 5 patients treated with TSCPC as primary glaucoma surgery who developed Urrets-Zavalia syndrome. RESULTS: A total of 8 eyes of 5 patients developed a fixed and dilated pupil after TSCPC, unresponsive to light. A mydriatic pupil could still be observed at least 6 months after treatment in 7 of 8 eyes; however, it was asymptomatic. CONCLUSIONS: Urrets-Zavalia syndrome is a possible complication of TSCPC, as well as of other 360-degree thermal laser procedures.
*Brasília Glaucoma Center, Brasilia, DF, Brazil †Einhorn Clinical Research Center, New York Eye and Ear Infirmary of Mt. Sinai, New York, NY.
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