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Surgical treatment for uveal effusion in nanophthalmic eyes Jun Kozaki 1 , Satoshi Honma 1 , Masanobu Uyama 1 , Fujio Fukuda 1Dept. of Ophthalmol, Kansai Med Univ pp.1236-1238
Published Date 1986/11/15
DOI https://doi.org/10.11477/mf.1410209889
  • Abstract
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A 27-year-old female presented with marked non-rhegmatogenous retinal detachment with choroidal detachment in both eyes. The condition had persisted for 3 years before visiting us.

Both eyes were diagnosed as nanophthalmos, with the horizontal axis of the eyeglobe measuring 18 mm. High hypermetropia of +14D was present. Both eyes were judged as uveal effusion occurring in nanophthalmos.

We treated both eyes by surgery, performing lamellar resection of the sclera, three quarters in depth and 4 mm in width around the whole equator, excepting the site beneath the 4 rectus muscles. Additionally, we perfor-med sclerectomy, 2 mm in diameter, at 4 sites at the bottom of the resected sclera. During surgery, the sclera was conspicuously thick and rigid as leather. We could drain profuse serous subchoroidal fluid through the sclerotomies. The retinal and choroidal detachment started to subsied immediately after surgery to com-pletely disappear 6 months later.

Our findings seemed to indicate that the uveal effu-sion in nanophthlamic eyes was caused by impeded outflow of intraocular fluid through the thick and rigid sclera. Surgery by lamellar scleral resection and scler-otomy may prove beneficial in this condition.

Rinsho Ganka (Jpn J Clin Ophthalmol) 40(11) : 1236-1238. 1986


Copyright © 1986, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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