Korean J Ophthalmol.  2013 Aug;27(4):294-298. 10.3341/kjo.2013.27.4.294.

Full-thickness Sclerotomy for Uveal Effusion Syndrome

• Kong M
• Kim JH
• Kim SJ
• Kang SW

• KMID: 1705428
• DOI: http://doi.org/10.3341/kjo.2013.27.4.294

Abstract

To report the surgical outcome of full-thickness sclerotomy in five cases of uveal effusion syndrome (UES). Full-thickness sclerotomy without sclerectomy was performed on five eyes of four patients with UES with or without nanophthalmos. In four of the eyes, exudative retinal detachment associated with UES resolved after the sclerotomy. The subretinal fluid in one eye, which had a normal axial length, was relieved after undergoing three sclerotomy procedures. Full-thickness sclerotomy without vortex vein decompression or sclerectomy is an effective surgical option for the management of significant UES.

Keyword

Nanophthalmos; Sclerotomy; Uveal effusion syndrome

MeSH Terms

Adult
Aged
Drainage/methods
Exudates and Transudates/*metabolism
Humans
Male
Middle Aged
Ophthalmologic Surgical Procedures/*methods
Retinal Detachment/metabolism/surgery
Sclera/*surgery
Uveal Diseases/*metabolism/*surgery

Figure

• 

  Fig. 1 A square bracket shaped full-thickness scleral incision was made in the quadrant between the rectus muscles. The scleral flap was loosely sutured with 8-0 vicryl at two corners of the rectangle.

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  Fig. 2 (A) Preoperative fundus photography of case 1. There are large peripheral choroidal effusions associated with a retinal detachment extending up to the level of the macula. Optical coherence tomography revealed retinal detachment with marked subretinal fluid. (B) Flat retina of case 1 at one month postoperatively. (C) Preoperative fundus photography of case 2. Bullous retinal detachment with macular involvement was noted. (D) The subretinal fluid was reduced at one month after the third surgery in case 2. (E) Preoperative retinal detachment with marked shifting of the subretinal fluid in case 3. (F) Flat retina of case 3 at three months postoperatively.

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