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Two cases of uveal effusion syndrome.

Lee JH, Choi JY, Kim SS - Korean J Ophthalmol (2006)

Bottom Line: The first case was a 25-year-old man who presented with decreased visual acuity in the left eye and hypotony.Fundus examination revealed choroidal effusion and retinal detachment with a thickened eyeball.The visual acuity of the nanophthalmic patient was well maintained during a 3-year follow-up period without treatment. appropriate treatment modalities should be considered depending on the ophthalmic condition of the individual patient.

View Article: PubMed Central - PubMed

Affiliation: The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report a case of uveal effusion syndrome associated with hypotony and a case of uveal effusion syndrome in nanophthalmos.

Methods: The first case was a 25-year-old man who presented with decreased visual acuity in the left eye and hypotony. Fundus examination revealed choroidal effusion and retinal detachment with a thickened eyeball. Partial thickness sclerotomy and sclerectomy were performed. The second case was a 13-year-old boy who had uveal effusion syndrome with a nanophthalmic eye.

Results: In the patient with hypotony, intraocular pressure was well maintained following partial thickness sclerotomy and sclerectomy, and choroidal effusion and retinal detachment were reduced. The visual acuity of the nanophthalmic patient was well maintained during a 3-year follow-up period without treatment.

Conclusions: appropriate treatment modalities should be considered depending on the ophthalmic condition of the individual patient.

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Related in: MedlinePlus

Preoperative color photograph of case 1 showing shallow retinal detachments and choroidal folding in the left eye.
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Figure 1: Preoperative color photograph of case 1 showing shallow retinal detachments and choroidal folding in the left eye.

Mentions: A 25-year-old male presented with blurred vision in his left eye that had persisted for 5 days. He also complained of eyeball pain. He had no relevant general medical or ocular history, and took no medication. His best corrected visual acuity (BCVA) in right eye was 1.0 and that of the left eye was finger count 50 cm. Intraocular pressure (IOP) was 12 mmHg in the right eye and 2mmHg in the left eye. Slit lamp examination showed cells 3+ in the left anterior chamber, posterior synechiae and posterior capsular opacity in the left eye. Fundus examination (Fig. 1) demonstrated shallow retinal detachment and choroidal folding in the left eye. No retinal breaks were found. Ultrasound examination (Fig. 2) revealed thickened sclera and choroidal detachment in the left eye. Fluorescein angiogram and indocyanine green (ICG) showed diffuse hyperfluorescence in the choroid that appeared in the early phase (10 seconds) and had almost disappeared in the late phase.


Two cases of uveal effusion syndrome.

Lee JH, Choi JY, Kim SS - Korean J Ophthalmol (2006)

Preoperative color photograph of case 1 showing shallow retinal detachments and choroidal folding in the left eye.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2908827&req=5

Figure 1: Preoperative color photograph of case 1 showing shallow retinal detachments and choroidal folding in the left eye.
Mentions: A 25-year-old male presented with blurred vision in his left eye that had persisted for 5 days. He also complained of eyeball pain. He had no relevant general medical or ocular history, and took no medication. His best corrected visual acuity (BCVA) in right eye was 1.0 and that of the left eye was finger count 50 cm. Intraocular pressure (IOP) was 12 mmHg in the right eye and 2mmHg in the left eye. Slit lamp examination showed cells 3+ in the left anterior chamber, posterior synechiae and posterior capsular opacity in the left eye. Fundus examination (Fig. 1) demonstrated shallow retinal detachment and choroidal folding in the left eye. No retinal breaks were found. Ultrasound examination (Fig. 2) revealed thickened sclera and choroidal detachment in the left eye. Fluorescein angiogram and indocyanine green (ICG) showed diffuse hyperfluorescence in the choroid that appeared in the early phase (10 seconds) and had almost disappeared in the late phase.

Bottom Line: The first case was a 25-year-old man who presented with decreased visual acuity in the left eye and hypotony.Fundus examination revealed choroidal effusion and retinal detachment with a thickened eyeball.The visual acuity of the nanophthalmic patient was well maintained during a 3-year follow-up period without treatment. appropriate treatment modalities should be considered depending on the ophthalmic condition of the individual patient.

View Article: PubMed Central - PubMed

Affiliation: The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT

Purpose: To report a case of uveal effusion syndrome associated with hypotony and a case of uveal effusion syndrome in nanophthalmos.

Methods: The first case was a 25-year-old man who presented with decreased visual acuity in the left eye and hypotony. Fundus examination revealed choroidal effusion and retinal detachment with a thickened eyeball. Partial thickness sclerotomy and sclerectomy were performed. The second case was a 13-year-old boy who had uveal effusion syndrome with a nanophthalmic eye.

Results: In the patient with hypotony, intraocular pressure was well maintained following partial thickness sclerotomy and sclerectomy, and choroidal effusion and retinal detachment were reduced. The visual acuity of the nanophthalmic patient was well maintained during a 3-year follow-up period without treatment.

Conclusions: appropriate treatment modalities should be considered depending on the ophthalmic condition of the individual patient.

Show MeSH
Related in: MedlinePlus