Idiopathic Serous Detachment of the Choroid,Ciliary Body,and Retina (Uveal Effusion Syndrome) |
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Authors: | J. Donald M. Gass Sulayman Jallow |
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Affiliation: | 1. Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami School of Medicine, Miami, Florida |
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Abstract: | Nine patients with bilateral idiopathic serous detachment of the peripheral choroid, ciliary body, and retina (uveal effusion syndrome)are presented. The following features are emphasized: (1) dilationof episcleral vessels, (2) vitreous cells, (3) characteristic leopardspot pigment epithelial changes, and (4) ultrasonic and angiographic findings. One patient presented with recurrent serous macular detachment and was misdiagnosed as idiopathic central serous choroidopathy. Although the pathogenesis of this syndrome is uncertain, the available clinical and histopathologic findings suggest that obstruction of the venous outflow of the uveal tract occurring predominantly in nanophthalmic or normal size eyes with abnormally thick sclera and vortex vein anomalies may be the primary cause of the uveal and retinal detachment. |
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Keywords: | choroidal detachment ciliary body detachment fluorescein angiography lumbar puncture nanophthalmos papilledema retinal detachment subretinal fluid syndrome ultrasonography uveal effusion uveitis vitritis vortex vein decompression |
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