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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

Color photograph of case 2 showing serous retinal detachments and epiretinal membrane.
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Figure 4: Color photograph of case 2 showing serous retinal detachments and epiretinal membrane.

Mentions: A 13-year-old boy was referred to our hospital due to decreased visual acuity in both eyes over 2 years. He had no relevant general medical or ocular history, and took no medication. One year previously, brain MRI had revealed no abnormalities and an electoretinogram (ERG) showed decreased electrical signals. At presentation, BCVA was 0.5 for both eyes and both spherical equivalents were +7.00D (diopter). Slip lamp examination showed no specific features, while fundus examination revealed tortuous dilated retinal vessels, serous retinal detachment and subretinal fluid at periphery, and choroidal folding and epiretinal membrane in both eyes (Fig. 4). Axial lengths were 18.96 mm in the right eye and 18.99 mm in the left eye in A-scan. A B-scan ultrasonogram showed thickened choroid, retinal detachment and choroidal detachment (Fig. 5). During a 3-year follow up period, fundus examination showed no interval change and BCVA was 0.7 in the right eye and 0.6 in the left eye. He is currently under observation without any medication.


Two cases of uveal effusion syndrome.

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

Color photograph of case 2 showing serous retinal detachments and epiretinal membrane.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Color photograph of case 2 showing serous retinal detachments and epiretinal membrane.
Mentions: A 13-year-old boy was referred to our hospital due to decreased visual acuity in both eyes over 2 years. He had no relevant general medical or ocular history, and took no medication. One year previously, brain MRI had revealed no abnormalities and an electoretinogram (ERG) showed decreased electrical signals. At presentation, BCVA was 0.5 for both eyes and both spherical equivalents were +7.00D (diopter). Slip lamp examination showed no specific features, while fundus examination revealed tortuous dilated retinal vessels, serous retinal detachment and subretinal fluid at periphery, and choroidal folding and epiretinal membrane in both eyes (Fig. 4). Axial lengths were 18.96 mm in the right eye and 18.99 mm in the left eye in A-scan. A B-scan ultrasonogram showed thickened choroid, retinal detachment and choroidal detachment (Fig. 5). During a 3-year follow up period, fundus examination showed no interval change and BCVA was 0.7 in the right eye and 0.6 in the left eye. He is currently under observation without any medication.

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