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Sclerostomy with adjunct mitomycin C for nanophthalmic uveal effusion Hiromi Hosoda 1 , Toru Noda 1 1Dept of Ophthalmol, National Tokyo Med Center pp.613-616
Published Date 2002/4/15
DOI https://doi.org/10.11477/mf.1410907697
  • Abstract
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A 38-year-old female presented with decreased vision in both eyes. She had been diagnosed with nanophthalmic uveal effusion 8 months before. Choroidal detachment persisted after having received sclerotomy 3 times in her left eye. Her corrected visual acuity was 0.07 right and 0.3 left. The refraction was +18D right and+16D left. The axial length was 15 mm in either eye. Both eyes showed bullous retinal and choroidal detachment. Sclerectomy in 8 sites in her right eye induced disappearance of retinal detachment. Uveal effusion recurred one year later. The right eye then received lamellar sclerectomy measuring 4×4 mm in each quadrant, application of 0.04%mitomycin C for 3 minutes, and full-thickness sclerostomy of 1 mm in diameter in its center. Choroidal detachment disappeared 4 months later. The left eye received the same pro-cedure. Choroidal detachment disappeared 3 weeks later. There has been no recurrence for 41 months in the right eye and 33 months in the left, with corrected visual acuity of 0.5 right and 0.4 left. This case shows that sclerectomy with adjunct mitomycin C was effective for nanophthalmic uveal effusion.


Copyright © 2002, 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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