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Uveal effusion syndrome: diagnosis and management

DOI: 10.5677/2011-1-10

Submitted by: S. Chien Wong, MRCOphth, FRCSEd, Paul M. Sullivan, MD, FRCOphth

Uveal effusion syndrome (UES) is a difficult condition to accurately diagnose and treat. In this video, we illustrate the features, differential diagnoses and management of UES using a combination of surgical clips and 3D animation. Surgical treatment with sclerectomy is demonstrated, including tips for effective control of sclerectomy depth. Good anatomical and visual outcomes can be achieved following sclerectomy for UES. Uveal effusion syndrome is a challenging condition to diagnose and treat. Good outcomes can be achieved.

Keywords: uveal effusion syndrome, sclerectomy, choroidal detachment, choroidal effusion

1) Johnson MW, Gass JD. Surgical management of the idiopathic uveal effusion syndrome. Ophthalmology. 1990;97(6):778-85
2) Gass JD. Uveal effusion syndrome: a new hypothesis concerning pathogenesis and technique of surgical treatment. Trans Am Ophthalmol Soc. 1983;81:246-60
3) Uyama M, Takahashi K, Kozaki J, et al. Uveal effusion syndrome: clinical features, surgical treatment, histologic examination of the sclera, and pathophysiology. Ophthalmology. 2000;107(3):441-9
4) Jackson TL, Hussain A, Morley AM, et al. Scleral hydraulic conductivity and macromolecular diffusion in patients with uveal effusion syndrome. Invest Ophthalmol Vis Sci. 2008;49(11):5033-40

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ISSN: 2191-8473