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At least 37 records · Page 2Linked to original sources

Nanophthalmos with longstanding choroidal effusion and serous retinal detachment.

PURPOSE: To report a typical case of nanophthalmos with uveal effusion and local serous retinal detachment followed for 1 year. METHODS: Clinical ocular examinations included vision, refraction, corneal diameter, anterior chamber depth, intraocular pressure, fundoscopy, A/B scan ultrasonography and gonioscopy. RESULTS: Both eyes were hypermetropic with small corneas and shallow anterior chambers. Decreased axial length and thickened sclera were also found. There were peripheral choroidal effusions and local serous retinal detachments as well. The patient declined any surgery that was offered. No significant change in either eye was found after 1 year follow-up. CONCLUSION: This case illustrates that the progress of choroidal effusion and retinal detachment in nanophthalmos may be very slow and even non-progressive for at least 1 year. In these cases sclerectomy and or sclerotomy may be delayed without undue immediate risk to the vision.

Anterior Chamber↗

Septic choroidal effusion after scleral buckling operation.

We treated a case of suppurative choroidal effusion occurring after a scleral buckling procedure in a diabetic patient. Staphylococcus epidermidis was isolated from culture of the suprachoroidal fluid, but cultures of the vitreous fluid and anterior chamber aspirate yielded no growth. There was no associated infection of the scleral implant material and no formation of scleral abscess. Despite intensive systemic, periocular, and topical therapy with antibiotics and corticosteroids, vision could not be salvaged. We suspect the route of infection was through the scleral perforation site for drainage of subretinal fluid.

Adult↗

Choroidal effusion during glaucoma surgery in patients with prominent episcleral vessels.

Rapid intraoperative choroidal effusion and flattening of the anterior chamber occurred during glaucoma filtering surgery in four young patients with prominent episcleral vessels, elevated episcleral venous pressure, and advanced open-angle glaucoma. Two of these four patients had Sturge-Weber syndrome. Intraoperative release of suprachoroidal fluid (SCF) through a posterior sclerotomy facilitated reformation of the anterior chamber and repositioning of the iris and ciliary body. Posterior sclerostomy performed prior to opening the anterior chamber minimized the above-mentioned untoward series of events. Analysis of SCF and serum demonstrated considerable differences in total protein and individual immunoglobulin levels; this appears to be a manifestation of molecular sieving at the level of the choriocapillaris. Choroidal detachment and postoperative serous retinal detachment are manifestation of this phenomenon.

Adult↗

[Choroid effusion in an antiglaucoma operation in a child with Sturge-Weber syndrome].

The authors describe a case of expulsive choroidal effusion which occurred in the course of a fistulating operation in a child with Sturge-Weber syndrome. This is the youngest patient with this complication so far reported in the literature. The persistent postoperative choroidal and retinal detachments in this case led to a considerable diminution of visual acuity.

Angiomatosis↗

Hypotony and choroidal effusion induced by topical timolol and dorzolamide in patients with previous glaucoma drainage device implantation.

Three patients with glaucoma drainage devices and one patient who had trabeculectomy with mitomycin C were treated with a combination of topical timolol 0.5% and dorzolamide hydrochloride in the late postoperative period to decrease the intraocular pressure to the target level. All four patients developed ciliochoroidal effusions with hypotony that resolved with the discontinuation of the topical medication. Aqueous suppressants can induce ciliochoroidal effusions and hypotony in the late postoperative phase in some patients with glaucoma drainage devices. Discontinuation of the medication usually results in the resolution of the choroidal effusions.

Administration, Topical↗

Recurrent crescentic membranous nephropathy in two successive renal transplants: association with choroidal effusions and retinal detachment.

We report the case of a 50-year-old man in whom crescentic membranous nephropathy recurred in two successive renal transplants leading rapidly to renal failure. Deterioration of renal function was associated with choroidal effusions and retinal detachments. Multiple serologic tests were negative. High-dose steroids, cyclophosphamide, cyclosporine, plasmapheresis and OKT3 failed to arrest the deterioration of renal function.

Choroid Diseases↗

[Ultrasound biomicroscopy diagnosis of traumatic choroid effusion without cyclodialysis].

BACKGROUND: Chamber angle changes due to trauma represent a diagnostic challenge in modern ophthalmology and two examination techniques are compared: gonioscopy which has been used in ophthalmology for almost a century and is still undergoing continuous improvements and ultrasound biomicroscopy (UBM) which was introduced into clinical ophthalmology in 1991. CASE REPORT: We report the case of a 14-year-old boy with ocular trauma caused by a soft gun projectile. Gonioscopy showed a large goniosynechia in the presence of ocular hypotension, therefore, cyclodialysis was suspected. However, a control investigation using UBM showed an intact and circularly attached but anteverted ciliary body behind the synechia, a circular choroidal effusion and an anterior displacement of the iris-lens diaphragm. CONCLUSION: In ocular trauma, UBM may under certain conditions clearly be of a higher diagnostic value than gonioscopy. Therefore, UBM should not only be considered as an additional examination technique in the evaluation of traumatic ocular pathologies but rather as the technique of choice.

Adolescent↗

Intraocular gas injection in the treatment of cornea-lens touch and choroidal effusion following fistulizing surgery.

Five eyes with large choroidal detachments and flat anterior chambers following fistulizing surgery were treated with injection of perfluoropropane into the anterior chamber. In all cases the choroidal detachments resolved within 4 days, without the need for drainage. Three phakic eyes developed anterior capsular opacification in the area of contact between the gas bubble and the anterior capsule. Injection of perfluoropropane is recommended as a simple and effective approach to the management of choroidal detachments with flat anterior chamber in pseudophakic eyes and in cataractous phakic eyes.

Aged↗