Guidelines

What is uveal effusion syndrome?

What is uveal effusion syndrome?

Uveal effusion syndrome is a rare syndrome of idiopathic exudative detachments of choroid, ciliary body and retina, thought to arise from impaired posterior segment drainage usually associated with scleral thickening.

What causes choroidal effusion?

The primary cause of choroidal effusion and hemorrhage is low IOP, although inflammation can sometimes play a role. Other risk factors include anticoagulation, aphakia, high myopia, prior ocular surgery, hypotony, straining, hypertension, and heart and respiratory disease.

What is choroidal detachment?

Hemorrhagic choroidal detachment is a hemorrhage in the suprachoroidal space or within the choroid caused by the rupture of choroidal vessels. This can occur spontaneously (rare), as a consequence of ocular trauma, during eye surgery, or after eye surgery.

What is Hypotony?

Hypotony is usually defined as an intraocular pressure (IOP) of 5 mm Hg or less. Low IOP can adversely impact the eye in many ways, including corneal decompensation, accelerated cataract formation, maculopathy, and discomfort. Clinically significant changes occur more frequently as the IOP approaches 0 mm Hg.

How can you tell the difference between retinal and choroidal detachment?

An echographic (ultrasound) image of the eye shows a choroidal detachment. Your retina specialist can use these images to differentiate a choroidal detachment from a retinal detachment, characterize the size and type of the choroidal detachment (ie serous, hemorrhagic, or mixed), and monitor changes over time.

What is an eye effusion?

Choroidal effusion is a buildup of fluid between the choroid (the blood vessel layer that nourishes the overlying retina) and the sclera, the white outer covering of the eye.

How is choroidal detachment treated?

Choroidal detachments are generally treated with topical medications, such as eye drops, that help reduce inflammation and dilate the pupil. Small postoperative choroidal detachments often heal on their own a few days after surgery.

How can you tell the difference between conjunctivitis and uveitis?

Anterior Uveitis Is A Middle-Layer Eye Disease. Unlike pink eye (conjunctivitis) that affects the outer layer of the eye tissue, anterior uveitis affects the middle layers of tissue. This means inflammation affects the pupil (the dark, round circle in the center of your eyeball).

How is Hypotony treated?

Treatment options include argon laser photocoagulation, cryotherapy, external diathermy, ciliary body suturing, and vitrectomy with endotamponade. Clefts can spontaneously close and result in a dramatic rise in IOP. Miotics should be avoided to prevent recurrence of cleft opening.

How to diagnose uveal effusion syndrome ( UES )?

Uveal effusion syndrome is primarily a clinical diagnosis, but it is important to measure refraction and axial length. B-mode ocular ultrasound of the posterior sclera is also helpful. Scleral thickening is well described, especially in nanophthalmic UES, but it can also occur in idiopathic UES.

How is uveal effusion syndrome related to retinal detachment?

Uveal effusion syndrome (UES) is an extremely rare but potentially serious condition characterized by choroidal fluid collections, often in association with serous retinal detachment. UES is often misdiagnosed. Vision can be severely reduced, and both eyes are ultimately involved in a majority of patients.

How is uveal effusion syndrome related to lymphoma?

• Uveal effusion syndrome (UES) is a rare idiopathic cause of choroidal detachment that may be associated with nanophthalmos and increased scleral thickness. • Diagnosis of UES is often delayed due to an overlap in clinical findings with posterior uveitis and intraocular lymphoma.

How is you veal effusion syndrome misdiagnosed?

U veal effusion syndrome (UES) is an extremely rare but potentially serious condition characterized by choroidal fluid collections, often in association with serous retinal detachment. UES is often misdiagnosed. Vision can be severely reduced, and both eyes are ultimately involved in a majority of patients.