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Clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome
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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Wolters Kluwer - Medknow
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940597/ https://www.ncbi.nlm.nih.gov/pubmed/36453343 http://dx.doi.org/10.4103/ijo.IJO_1221_22 |
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author | Desai, Arjun Parameswarappa, Deepika C Senthil, Sirisha Jayanna, Sushma Pappuru, Rajeev Reddy Jalali, Subhadra Rani, Padmaja Kumari |
author_facet | Desai, Arjun Parameswarappa, Deepika C Senthil, Sirisha Jayanna, Sushma Pappuru, Rajeev Reddy Jalali, Subhadra Rani, Padmaja Kumari |
author_sort | Desai, Arjun |
collection | PubMed |
description | 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) and 6 had hyperopia with 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. |
format | Online Article Text |
id | pubmed-9940597 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-99405972023-02-21 Clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome Desai, Arjun Parameswarappa, Deepika C Senthil, Sirisha Jayanna, Sushma Pappuru, Rajeev Reddy Jalali, Subhadra Rani, Padmaja Kumari Indian J Ophthalmol Original Article 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) and 6 had hyperopia with 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. Wolters Kluwer - Medknow 2022-12 2022-11-30 /pmc/articles/PMC9940597/ /pubmed/36453343 http://dx.doi.org/10.4103/ijo.IJO_1221_22 Text en Copyright: © 2022 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Desai, Arjun Parameswarappa, Deepika C Senthil, Sirisha Jayanna, Sushma Pappuru, Rajeev Reddy Jalali, Subhadra Rani, Padmaja Kumari Clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome |
title | Clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome |
title_full | Clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome |
title_fullStr | Clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome |
title_full_unstemmed | Clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome |
title_short | Clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome |
title_sort | clinical presentation and treatment outcomes of an algorithmic approach to uveal effusion syndrome |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940597/ https://www.ncbi.nlm.nih.gov/pubmed/36453343 http://dx.doi.org/10.4103/ijo.IJO_1221_22 |
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