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Abstract #18229 Published in IGR 9-2
Uveal effusion syndrome in nanophthalmic eye after trabeculectomy
Bluwol E; Nordmann JPJournal Français d'Ophtalmologie 2007; 30: e13
INTRODUCTION: Nanophthalmos, characterized by a short axial length (14-17 mm), is a rare disease often associated with severe glaucoma. Uveal effusion is part of the clinical ophthalmologic manifestations we should keep in mind. CASE REPORT: A nanophthalmic patient underwent trabeculectomy. Postoperatively, examination revealed a nonrhegmatogenous retinal detachment. B scan ultrasonography confirmed thickened sclera and choroidal detachment associated with subtotal retinal detachment. Retinal and choroidal detachments gradually resolved spontaneously with no surgical intervention. DISCUSSION: Uveal effusion can occur after surgery in nanophthalmos. Histopathologic scleral modifications contribute to scleral inelasticity and to an increased scleral resistance to protein diffusion. CONCLUSION: Managing nanophthalmic patients remains complicated. A slow spontaneous resolution of retinal detachment and choroidal effusion illustrates an alternative to prophylactic or therapeutic sclerectomies. LA: French
Dr. E. Bluwol, Service d'Ophtalmologie 2, Centre Hospitalier National des Quinze-Vingts, 28, rue de Charenton, 75571 Paris CEDEX 12, France. eliblu@hotmail.fr
Classification:
2.12 Choroid, peripapillary choroid, peripapillary atrophy (Part of: 2 Anatomical structures in glaucoma)
9.1.4 Other (Part of: 9 Clinical forms of glaucomas > 9.1 Developmental glaucomas)