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Clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome

التفاصيل البيبلوغرافية
العنوان: Clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome
المؤلفون: Arjun Desai, Deepika C Parameswarappa, Sirisha Senthil, Sushma Jayanna, Rajeev Reddy Pappuru, Subhadra Jalali, Padmaja Kumari Rani
المصدر: Indian Journal of Ophthalmology, Vol 70, Iss 12, Pp 4349-4356 (2022)
بيانات النشر: Wolters Kluwer Medknow Publications, 2022.
سنة النشر: 2022
المجموعة: LCC:Ophthalmology
مصطلحات موضوعية: anterior chamber maintainer, exudative rd, ocular ultrasonography, sclerectomy, sub-retinal fluid drainage, uveal effusion syndrome, ues, Ophthalmology, RE1-994
الوصف: Purpose: To describe the clinical features and treatment outcomes in spontaneous uveal effusion syndrome (UES). Methods: A 10-year retrospective chart review of UES patients from a tertiary eye center was carried out. Optical coherence tomography (OCT), fundus fluorescein angiography, and ultrasound biomicroscopy (UBM) scans were performed. UES was managed based on presenting best-corrected visual acuity (BCVA), symptoms, and fundus findings. Patients with secondary causes of uveal effusion were excluded. Results: Twenty-five eyes of 16 patients were included. Of the 16 patients, 14 (88%) were male and 9 (56%) had bilateral disease. Fifteen of 25 affected eyes had nanophthalmos (axial length (AL) 20.5 mm. The presenting mean distance BCVA was 0.74 ± 0.64 logMAR (mean Snellen: 20/100). Eleven eyes had exudative retinal detachment, and 4 also had exudative choroidal detachment (CD). Choroidal thickness (CT) was increased in 11 eyes on B-scan ultrasonography, and the mean CT was 1.74 ± 0.38 mm. Sub-retinal fluid (SRF) and retinal folds were the most common OCT findings. UBM findings included shallow angles, peripheral CD, and supra-ciliary effusion. A combination of local and systemic corticosteroids was used to successfully treat 12 eyes, 6 needed surgery, and 7 were observed. Partial sclerectomy with anterior chamber maintainer-assisted SRF drainage was the favored surgery. The median period of follow-up was 6.5 months (0.1–76 months), and the mean distance BCVA at the last follow-up was 0.58 ± 0.42 logMAR (mean Snellen: 20/80). Conclusion: UES can be suitably managed both medically and surgically based on clinical presentation.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 0301-4738
1998-3689
Relation: http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=12;spage=4349;epage=4356;aulast=Desai; https://doaj.org/toc/0301-4738; https://doaj.org/toc/1998-3689
DOI: 10.4103/ijo.IJO_1221_22
URL الوصول: https://doaj.org/article/ef0b95345dff4738a18161f36251a15e
رقم الأكسشن: edsdoj.f0b95345dff4738a18161f36251a15e
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:03014738
19983689
DOI:10.4103/ijo.IJO_1221_22