Clinical characteristics and surgical treatment of idiopathic uveal effusion syndrome
AIM: To investigate the clinical characteristics of idiopathic uveal effusion syndrome (IUES) and to identify effective surgical modalities for its treatment. METHODS: This retrospective analysis included clinical data of 33 eyes from 26 patients with IUES at Beijing Tongren Hospital. Records of eye...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2022-04-01
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| Series: | International Journal of Ophthalmology |
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| Online Access: | http://ies.ijo.cn/en_publish/2022/4/20220413.pdf |
| _version_ | 1818315555898130432 |
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| author | Zhi-Jun Shen Lin Shen Hong Wang |
| author_facet | Zhi-Jun Shen Lin Shen Hong Wang |
| author_sort | Zhi-Jun Shen |
| collection | DOAJ |
| description | AIM: To investigate the clinical characteristics of idiopathic uveal effusion syndrome (IUES) and to identify effective surgical modalities for its treatment. METHODS: This retrospective analysis included clinical data of 33 eyes from 26 patients with IUES at Beijing Tongren Hospital. Records of eye examinations, ocular ultrasound, ocular ultrasound biomicroscopy (UBM), and follow-up surgical treatment were reviewed and analyzed. RESULTS: Of 26 patients, 17 (65.4%) were male and 9 (34.6%) were female. The average age of disease onset was 46.8y (range: 22-64y). Seven patients (26.9%) showed retinal detachment in both eyes at presentation. B-ultrasound showed the presence of retinal detachment in one eye or both eyes. All patients had binocular ciliary leakage and detachment. Eyes with retinal detachment underwent four-quadrantic partial-thickness sclerectomy and sclerostomy. Subretinal fluid resolution was achieved within 6mo. Recurrence was observed in three eyes and was resolved with re-operation. CONCLUSION: Ophthalmic ultrasound and UBM, among others, can be helpful in the diagnosis of IUES. Sclerectomy and sclerostomy are surgical modalities that can successfully treat the disease. Some patients may experience recurrence after surgery; reoperation remains safe and effective for them. Long-term follow-up is essential in such settings. |
| first_indexed | 2024-12-13T09:07:24Z |
| format | Article |
| id | doaj.art-b33859eafd6c46989faaafe2827139ed |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-12-13T09:07:24Z |
| publishDate | 2022-04-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-b33859eafd6c46989faaafe2827139ed2022-12-21T23:53:03ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982022-04-0115460460810.18240/ijo.2022.04.1320220413Clinical characteristics and surgical treatment of idiopathic uveal effusion syndromeZhi-Jun Shen0Lin Shen1Hong Wang2Hong Wang. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Lab, No.1 Dong Jiao Min Xiang, Dongcheng District, Beijing 100730, China. wanghongyk@sina.comBeijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Science Key Lab, Beijing 100730, ChinaBeijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Ophthalmology & Visual Science Key Lab, Beijing 100730, ChinaAIM: To investigate the clinical characteristics of idiopathic uveal effusion syndrome (IUES) and to identify effective surgical modalities for its treatment. METHODS: This retrospective analysis included clinical data of 33 eyes from 26 patients with IUES at Beijing Tongren Hospital. Records of eye examinations, ocular ultrasound, ocular ultrasound biomicroscopy (UBM), and follow-up surgical treatment were reviewed and analyzed. RESULTS: Of 26 patients, 17 (65.4%) were male and 9 (34.6%) were female. The average age of disease onset was 46.8y (range: 22-64y). Seven patients (26.9%) showed retinal detachment in both eyes at presentation. B-ultrasound showed the presence of retinal detachment in one eye or both eyes. All patients had binocular ciliary leakage and detachment. Eyes with retinal detachment underwent four-quadrantic partial-thickness sclerectomy and sclerostomy. Subretinal fluid resolution was achieved within 6mo. Recurrence was observed in three eyes and was resolved with re-operation. CONCLUSION: Ophthalmic ultrasound and UBM, among others, can be helpful in the diagnosis of IUES. Sclerectomy and sclerostomy are surgical modalities that can successfully treat the disease. Some patients may experience recurrence after surgery; reoperation remains safe and effective for them. Long-term follow-up is essential in such settings.http://ies.ijo.cn/en_publish/2022/4/20220413.pdfidiopathic uveal effusion syndromesclerectomysclerostomyrecurrenceretinal detachment |
| spellingShingle | Zhi-Jun Shen Lin Shen Hong Wang Clinical characteristics and surgical treatment of idiopathic uveal effusion syndrome International Journal of Ophthalmology idiopathic uveal effusion syndrome sclerectomy sclerostomy recurrence retinal detachment |
| title | Clinical characteristics and surgical treatment of idiopathic uveal effusion syndrome |
| title_full | Clinical characteristics and surgical treatment of idiopathic uveal effusion syndrome |
| title_fullStr | Clinical characteristics and surgical treatment of idiopathic uveal effusion syndrome |
| title_full_unstemmed | Clinical characteristics and surgical treatment of idiopathic uveal effusion syndrome |
| title_short | Clinical characteristics and surgical treatment of idiopathic uveal effusion syndrome |
| title_sort | clinical characteristics and surgical treatment of idiopathic uveal effusion syndrome |
| topic | idiopathic uveal effusion syndrome sclerectomy sclerostomy recurrence retinal detachment |
| url | http://ies.ijo.cn/en_publish/2022/4/20220413.pdf |
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