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Abstract #3641 Published in IGR 4-2
Sclerostomy with adjunct mitomycin C for nanophthalmic uveal effusion
Hosoda H; Noda TJapanese Journal of Clinical Ophthalmology 2002; 56: 613-616
A 38-year-old female presented with decreased vision in both eyes. She had been diagnosed with nanophthalmic uveal effusion eight months earlier. Choroidal detachment persisted after having undergone sclerotomy three times in her left eye. Her corrected visual acuity was 0.07 right and 0.3 left. The refraction was +18 D right and +16 D left. The axial length was 15 mm in both eyes. Both eyes showed bullous retinal and choroidal detachment. Sclerectomy in eight 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 x 4 mm in each quadrant, application of 0.04% mitomycin C for three minutes, and full-thickness sclerostomy of 1 mm in diameter in its center. Choroidal detachment disappeared four months later. The left eye received the same procedure. Choroidal detachment disappeared three weeks later. There has been no recurrence for 41 months in the right eye and 33 months in the left, with a 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. LA: Japanese
Dr. H. Hosoda, Department of Ophthalmology, National Tokyo Medical Center, 2-5-1 Higashigaoka Meguro-ku, Tokyo 150-0021, Japan
Classification:
12.20 Other (Part of: 12 Surgical treatment)
