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Diagnosis and Treatment of uveal effusion syndrome: a Case Series and Literature Review

Chinese Medical Sciences Journal 2011年第4期26卷 231-236页

作者： Chan Wu Fang-tian Dong Hua Zhang You-xin Chen Rong-ping Dai Ke Tan Department of Ophthalmology Peking Union Medical College HospitalChinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730 China

Objective To explore the diagnosis, classification, and management of uveal effusion syndrome (UES). Methods The clinical data of 10 patients diagnosed with UES in our hospital between 1990-2010 were extracted from hospital records and analyzed, including ophthalmologic examination, ophthalmologic ultrasonography, ultrasound biomicroscopy (UBM), fundus fluorescence angiography (FFA), indocyanine green (ICG) angiography, surgical procedures, and outcomes. Results The fundus examination of all impacted eyes showed bullous retinal detachment shifting with head position, confirmed by ultrasonography revealing retinal and choroidal detachment. UBM showed annular peripheral ciliochoroidal detachment in all cases. FFA was performed in 5 patients and revealed leopard spots without leakage from choroid into subretinal space. ICG angiograpy was performed in 3 patients and demonstrated diffused granular marked hyperfluorescence in the choroidal fluorescence in the very early phase, which increased with time and persisted until the late phase. Four eyes of 2 patients underwent full-thickness sclerectomies and 1 eye of 1 patient underwent subscleral sclerectomy, all of whom achieved reattachment of the retina without recurrence during 1-year follow-up. Conclusions Comprehensive preoperative evaluation, including ophthalmologic ultrasonography, computed tomography, and magnetic resonance imaging, is crucial for accurate classification of UES and selection of proper management strategy. Surgical treatment can achieve optimal clinical outcomes for type 1 and type 2 UES.

关键词： uveal effusion syndrome idiopathic classification sclerectomy

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Scleral resection in chronic central serous chorioretinopathy complicated by exudative retinal detachment

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Eye and Vision 2016年第1期3卷 183-187页

作者： Pradeep Venkatesh Rohan Chawla Koushik Tripathy Harsh Inder Singh Ravi Bypareddy Department of Ophthalmology Dr.Rajendra Prasad Centre for OphthalmologyAll India Institute of Medical SciencesNew Delhi 110029India

Background:Effective therapeutic options are limited for the management of chronic central serous chorioretinopathy(CSCR)complicated by exudative retinal detachments(RD).The authors describe the resolution of one such case following partial thickness scleral resection with mitomycin *** presentation:This 39-year-old male presented with a unilateral inferior exudative RD in the right *** was no history of steroid use either locally or *** fundus fluorescein angiogram showed window defects and leaks typical of chronic *** axial length was 21.06 mm in the right eye and 21 mm in the left *** of the ocular coats was evident on ocular *** an axial length in the borderline-low range inferotemporal and inferonasal partial thickness scleral resection with mitomycin C was *** exudative RD resolved at 4 ***:Partial thickness scleral resection may be considered as an option for treating chronic CSCR patients with borderline-low axial length complicated by exudative RD.

关键词： Nanophthalmos uveal effusion syndrome Diffuse retinal pigment epitheliopathy Sclerectomy

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