Acute uveal effusion during phacoemulsification with preoperative central serous chorioretinopathy: a case report
Abstract Background We report a case of acute uveal effusion during phacoemulsification in an eye with preoperative chronic central serous chorioretinopathy (CSC). Case presentation A 55-year-old man with a history of chronic CSC for >18 months presented with bilateral opaque lenses. A preoperati...
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| Format: | Article |
| Language: | English |
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BMC
2017-08-01
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| Series: | BMC Ophthalmology |
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| Online Access: | http://link.springer.com/article/10.1186/s12886-017-0530-3 |
| _version_ | 1828974212838064128 |
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| author | Ruiqi Chang Yu Du Zhou Peng Yi Lu Xiangjia Zhu |
| author_facet | Ruiqi Chang Yu Du Zhou Peng Yi Lu Xiangjia Zhu |
| author_sort | Ruiqi Chang |
| collection | DOAJ |
| description | Abstract Background We report a case of acute uveal effusion during phacoemulsification in an eye with preoperative chronic central serous chorioretinopathy (CSC). Case presentation A 55-year-old man with a history of chronic CSC for >18 months presented with bilateral opaque lenses. A preoperative ophthalmic examination showed suspected lenticonus and risky anatomical features, including a thick ciliary body, and anterior rotation of the ciliary process and iris root in both eyes. Optical coherence tomography (OCT) detected CSC in the left eye, but the results of fundus photography and B-scan ultrasonography were unremarkable. The anterior chamber flattened during phacoemulsification. Anterior vitrectomy was quickly performed for suspected infusion misdirection syndrome, and was followed by uneventful surgery. On postoperative day 1, fundus photography, type B ultrasound, and OCT revealed uveal exudation in the macula of the left eye. On postoperative day 50, the patient’s visual acuity recovered to 20/32, and fundus photography, ultrasonography, and OCT revealed complete resolution of the uveal effusion. Conclusions This case suggests an association between preoperative CSC and uveal effusion during surgery, because choroidal hyperperfusion and hyperpermeability were present in the patient’s CSC-affected eyes. |
| first_indexed | 2024-12-14T13:58:12Z |
| format | Article |
| id | doaj.art-fe6a081a515f4577b1276593ca16cc2e |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-14T13:58:12Z |
| publishDate | 2017-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-fe6a081a515f4577b1276593ca16cc2e2022-12-21T22:58:48ZengBMCBMC Ophthalmology1471-24152017-08-011711410.1186/s12886-017-0530-3Acute uveal effusion during phacoemulsification with preoperative central serous chorioretinopathy: a case reportRuiqi Chang0Yu Du1Zhou Peng2Yi Lu3Xiangjia Zhu4Department of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan UniversityDepartment of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan UniversityDepartment of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan UniversityDepartment of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan UniversityDepartment of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan UniversityAbstract Background We report a case of acute uveal effusion during phacoemulsification in an eye with preoperative chronic central serous chorioretinopathy (CSC). Case presentation A 55-year-old man with a history of chronic CSC for >18 months presented with bilateral opaque lenses. A preoperative ophthalmic examination showed suspected lenticonus and risky anatomical features, including a thick ciliary body, and anterior rotation of the ciliary process and iris root in both eyes. Optical coherence tomography (OCT) detected CSC in the left eye, but the results of fundus photography and B-scan ultrasonography were unremarkable. The anterior chamber flattened during phacoemulsification. Anterior vitrectomy was quickly performed for suspected infusion misdirection syndrome, and was followed by uneventful surgery. On postoperative day 1, fundus photography, type B ultrasound, and OCT revealed uveal exudation in the macula of the left eye. On postoperative day 50, the patient’s visual acuity recovered to 20/32, and fundus photography, ultrasonography, and OCT revealed complete resolution of the uveal effusion. Conclusions This case suggests an association between preoperative CSC and uveal effusion during surgery, because choroidal hyperperfusion and hyperpermeability were present in the patient’s CSC-affected eyes.http://link.springer.com/article/10.1186/s12886-017-0530-3Uveal effusionCentral serous chorioretinopathyCase reportInfusion misdirection syndromeSuprachoroidal hemorrhageChoroidal hyperperfusion |
| spellingShingle | Ruiqi Chang Yu Du Zhou Peng Yi Lu Xiangjia Zhu Acute uveal effusion during phacoemulsification with preoperative central serous chorioretinopathy: a case report BMC Ophthalmology Uveal effusion Central serous chorioretinopathy Case report Infusion misdirection syndrome Suprachoroidal hemorrhage Choroidal hyperperfusion |
| title | Acute uveal effusion during phacoemulsification with preoperative central serous chorioretinopathy: a case report |
| title_full | Acute uveal effusion during phacoemulsification with preoperative central serous chorioretinopathy: a case report |
| title_fullStr | Acute uveal effusion during phacoemulsification with preoperative central serous chorioretinopathy: a case report |
| title_full_unstemmed | Acute uveal effusion during phacoemulsification with preoperative central serous chorioretinopathy: a case report |
| title_short | Acute uveal effusion during phacoemulsification with preoperative central serous chorioretinopathy: a case report |
| title_sort | acute uveal effusion during phacoemulsification with preoperative central serous chorioretinopathy a case report |
| topic | Uveal effusion Central serous chorioretinopathy Case report Infusion misdirection syndrome Suprachoroidal hemorrhage Choroidal hyperperfusion |
| url | http://link.springer.com/article/10.1186/s12886-017-0530-3 |
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