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Table 2 Summary of previous case reports of dilated pupils after phakic intraocular lens implantation

From: Unilateral Urrets-Zavalia syndrome after Implantable Collamer Lens implantation: a case report and review of the literature

Author, year Type of phakic IOL Preexisting corneal disease Increase in IOP Cause of elevated IOP Time when dilated pupil was detected Characteristic of dilated pupil Outcome at
final follow-up
Treatment
At immediate postoperative period at postoperative day 1 Reactivity to light at early postoperative period Reactivity to pilocarpine
Anterior chamber phakic IOL implantation
Yuzbasioglu et al. 2006 [11] Iris-claw IOL None N/A 60 mmHg N/A 1 day after surgery No No Irreversible after postoperative 6 months N/A
Park et al. 2008 [12] Iris-claw IOL None N/A No N/A 2 weeks after surgery* No No Irreversible after postoperative 2 months N/A
Posterior chamber phakic IOL implantation
Kummelil et al. 2011 [13] ICL (STAAR Surgical, Nidau, Switzerland) None N/A 48 mmHg Viscoelastic retention** 1 day after surgery N/A No Irreversible after postoperative 3 months Conservative
Perez-Cambrodi et al. 2014 [14] Phakic refractive lens (PRL)
(Carl Zeiss Meditec, Jena, Germany)
None N/A 65 mmHg Viscoelastic retention 1 day after surgery Slightly reactive to light No Irreversible after postoperative 3 years Tinted CL
Habash et al. 2015 [15] ICL (STAAR Surgical, Nidau, Switzerland) None N/A 52 mmHg N/A 1 day after surgery No No Irreversible after postoperative 3 years N/A
Al-Thomali et al. 2016 [16] Toric ICL (STAAR Surgical, Nidau, Switzerland) Nonprogressive keratoconus 1 hour after surgery:
OD 26 mmHg
OS 28 mmHg
IOP returned to normal at postoperative day 1 N/A 1 day after surgery Yes Yes Partially reverse after postoperative 2 months N/A
Our case Toric ICL (STAAR Surgical, Nidau, Switzerland) None 1 hour after surgery:
OD 48 mmHg
IOP returned to normal at postoperative day 1 Viscoelastic retention 1 day after surgery Yes Yes Partially reverse after postoperative 3 months Conservative
  1. CL, contact lens; ICL, implantable collamer lens; IOL, intraocular lens; IOP, intraocular pressure; N/A, not applicable
  2. *Report of normal size pupil at postoperative day 1 and week 1
  3. **The patient also had severe anterior uveitis in the early postoperative period