Bluwol E, Nordmann J-P
Service d'Ophtalmologie 2, Centre Hospitalier National des Quinze-Vingts, 28, rue de Charenton, 75571 Paris CEDEX 12, France.
J Fr Ophtalmol. 2007 May;30(5):e13. doi: 10.1016/s0181-5512(07)89637-9.
Nanophthalmos, characterized by a short axial length (14-17 mm), is a rare disease often associated with severe glaucoma. Uveal effusion is part of the clinical ophthalmologic manifestations we should keep in mind.
A nanophthalmic patient underwent trabeculectomy. Postoperatively, examination revealed a nonrhegmatogenous retinal detachment. B scan ultrasonography confirmed thickened sclera and choroidal detachment associated with subtotal retinal detachment. Retinal and choroidal detachments gradually resolved spontaneously with no surgical intervention.
Uveal effusion can occur after surgery in nanophthalmos. Histopathologic scleral modifications contribute to scleral inelasticity and to an increased scleral resistance to protein diffusion.
Managing nanophthalmic patients remains complicated. A slow spontaneous resolution of retinal detachment and choroidal effusion illustrates an alternative to prophylactic or therapeutic sclerectomies.
小眼球症以眼轴短（14 - 17毫米）为特征，是一种常与严重青光眼相关的罕见疾病。葡萄膜渗漏是我们应牢记的临床眼科表现之一。
一名小眼球症患者接受了小梁切除术。术后检查发现非孔源性视网膜脱离。B超检查证实巩膜增厚及脉络膜脱离，伴有部分视网膜脱离。视网膜和脉络膜脱离在未进行手术干预的情况下逐渐自行消退。
小眼球症患者术后可能发生葡萄膜渗漏。组织病理学上的巩膜改变导致巩膜缺乏弹性，并增加了巩膜对蛋白质扩散的阻力。
治疗小眼球症患者仍然很复杂。视网膜脱离和脉络膜渗漏的缓慢自行消退说明了一种替代预防性或治疗性巩膜切除术的方法。
