{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T13:47:23Z","timestamp":1774705643365,"version":"3.50.1"},"reference-count":10,"publisher":"BMJ","issue":"12","funder":[{"DOI":"10.13039\/501100005809","name":"Hyderabad Eye Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,7]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>A female patient in her middle childhood who was initially referred to us with congenital glaucoma was later diagnosed with congenital hereditary endothelial dystrophy. Due to progressive corneal thickening and haze, Descemet\u2019s stripping endothelial keratoplasty (DSEK) was performed consecutively in both her eyes. Postoperative follow-ups included evaluations of corneal thickness, intraocular pressure and disc assessment. On post DSEK, the corneal thickness reduced on subsequent follow-ups and the intraocular pressure was normal. The corneal clarity improved significantly, however, examination revealed a fixed, dilated pupil with posterior synechiae, suggestive of Urrets-Zavalia syndrome. Urrets-Zavalia syndrome should be suspected in cases with a fixed, dilated pupil post-keratoplasty.<\/jats:p>","DOI":"10.1136\/bcr-2024-262450","type":"journal-article","created":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T11:50:15Z","timestamp":1733485815000},"page":"e262450","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Rare finding of bilateral Urrets-Zavalia syndrome post Descemet\u2019s stripping endothelial keratoplasty in congenital hereditary endothelial dystrophy in a child"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5454-4826","authenticated-orcid":false,"given":"Sikha","family":"Misra","sequence":"first","affiliation":[{"name":"Cornea, LVPEI, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anchal","family":"Arora","sequence":"additional","affiliation":[{"name":"Cornea, LVPEI, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,6]]},"reference":[{"key":"2025082804100693000_17.12.e262450.1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(63)91861-0"},{"key":"2025082804100693000_17.12.e262450.2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e31819aaa13"},{"key":"2025082804100693000_17.12.e262450.3","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1159\/000513959","article-title":"Urrets-Zavalia Syndrome Following Cataract Surgery","volume":"12","author":"Kurtz","year":"2021","journal-title":"Case Rep Ophthalmol"},{"key":"2025082804100693000_17.12.e262450.4","first-page":"1358","article-title":"Urrets-Zavalia syndrome in different methods of keratoplasty","volume":"9","author":"Foroutan","year":"2016","journal-title":"Int J Ophthalmol"},{"key":"2025082804100693000_17.12.e262450.5","first-page":"85","article-title":"Urrets-Zavalia syndrome following Descemet\u2019s stripping endothelial keratoplasty triple procedure","volume":"39","author":"Russell","year":"2011","journal-title":"Clin Exp Ophthalmol"},{"key":"2025082804100693000_17.12.e262450.6","doi-asserted-by":"crossref","DOI":"10.3390\/jcm11051175","article-title":"Risk Factors of Urrets-Zavalia Syndrome after Penetrating Keratoplasty","volume":"11","author":"Wang","year":"2022","journal-title":"J Clin Med"},{"key":"2025082804100693000_17.12.e262450.7","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1097\/ICO.0b013e318259ca15","article-title":"Features of Urrets-Zavalia syndrome after descemet stripping automated endothelial keratoplasty","volume":"31","author":"Anwar","year":"2012","journal-title":"Cornea"},{"key":"2025082804100693000_17.12.e262450.8","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/j.jaapos.2012.01.014","article-title":"Urrets-Zavalia syndrome following goniotomy in a child","volume":"16","author":"Chelnis","year":"2012","journal-title":"J AAPOS"},{"key":"2025082804100693000_17.12.e262450.9","doi-asserted-by":"crossref","first-page":"e80","DOI":"10.1097\/IJG.0000000000000894","article-title":"Urrets-Zavalia Syndrome After Combined Trabeculotomy-Trabeculectomy Surgery","volume":"27","author":"Klezlova","year":"2018","journal-title":"J Glaucoma"},{"key":"2025082804100693000_17.12.e262450.10","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1097\/ICO.0000000000000980","article-title":"Bilateral Urrets-Zavalia Syndrome After Descemet Stripping Automated Endothelial Keratoplasty","volume":"36","author":"Sarezky","year":"2017","journal-title":"Cornea"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-262450","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:10:15Z","timestamp":1756379415000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-262450"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":10,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,6]]},"published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1136\/bcr-2024-262450"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-262450","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}