Faulborn J, Kölli H
Department of Ophthalmology, Karl-Franzens-University of Graz, Austria.
Retina. 1999;19(6):504-7. doi: 10.1097/00006982-199911000-00004.
To report visual and anatomic outcomes after modified scleral surgery in patients with uveal effusion syndrome with retinal and choroidal detachment.
In five eyes of four patients with retinal and choroidal detachment and uveal effusion syndrome due to nanophthalmos, we performed pars plana full-thickness unsutured sclerotomies without sclerectomy.
In all cases, uveal effusion with choroidal and retinal detachment resolved within 3 weeks, and all patients showed improved vision. The functional and anatomic results remained stable for over 2 years.
Uveal effusion syndrome that is refractory to medical treatment (high-dose systemic corticosteroids) can be managed effectively by pars plana full-thickness unsutured sclerotomy without sclerectomy.
报告对伴有视网膜和脉络膜脱离的葡萄膜渗漏综合征患者行改良巩膜手术后的视力及解剖学结果。
对4例因小眼球导致视网膜和脉络膜脱离及葡萄膜渗漏综合征患者的5只眼，我们进行了不切除巩膜的平坦部全层未缝合巩膜切开术。
所有病例中，伴有脉络膜和视网膜脱离的葡萄膜渗漏在3周内消退，所有患者视力均有改善。功能和解剖学结果在2年多时间里保持稳定。
对药物治疗（大剂量全身用皮质类固醇）难治的葡萄膜渗漏综合征，可通过不切除巩膜的平坦部全层未缝合巩膜切开术有效治疗。
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