Uveal effusion syndrome in patients with nanophthalm and angle-closure glaucoma
Abstract
PURPOSE: To present clinical cases of spontaneous ciliochoroidal detachment (CD) in non-operated eyes in patients with angle-closure glaucoma and nanophtalm.
METHODS: Two patients with nanophthalm and angleclosure glaucoma were examined. Apart from standard ophthalmological examination all patients underwent ultrasound biomicroscopy of the eye using Paradigm P 40 UBM «Medical Industries, Ins» (USA) and optical coherence tomography of the anterior eye segment using Visante OCT «Carl Zeiss» (Germany).
RESULTS: In the first case, the patient underwent microinvasive non-penetrating deep sclerotomy (MNPDS) with preliminary laser iridectomy and phacoemulsification with intraocular lens implantation. During subsequent observation a ciliochoroidal detachment was detected in the paired non-operated eye. In the second case, the patient without any surgical intervention in anamnesis manifested with CD in both eyes.
CONCLUSION: CD is a complication that accompanies surgical intervention, associated with eye globe decompression, trauma and inflammatory ophthalmopathy. Uveal effusion syndrome is a rare pathology characterized by associated ciliochoroidal and serous retinal detachment.
This phenomenon develops because of the peculiarities of the structure and interrelation of vascular and scleral membranes of the eye.
Scientific literature widely coveres cases of effusion syndrome with nanophthalm and cases of CD after deep sclerectomy in patients with glaucoma.
This paper presents a clinical case of spontaneous CD in non-operated eye with angle-closure glaucoma.
Presented clinical cases demonstrate the need for a continued study of the sclera and choroid interrelation role in the pathogenesis of CD and uveal effusion development in patients with angle-closure glaucoma.
About the Authors
N. Y. Gorbunova
Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Ph.D., Head of Glaucoma Department
10 Traktorostroiteley Ave., Cheboksary, Russian Federation, 428028
N. A. Pozdeeva
Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Med.Sc.D., Deputy Director for Science
10 Traktorostroiteley Ave., Cheboksary, Russian Federation, 428028
A. S. Gorbunova
S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Resident
59А Beskudnikovsky Blvd, Moscow, Russian Federation, 127486
K. I. Katmakov
Cheboksary Branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Resident
10 Traktorostroiteley Ave., Cheboksary, Russian Federation, 428028
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Review
For citations:
Gorbunova N.Y., Pozdeeva N.A., Gorbunova A.S., Katmakov K.I. Uveal effusion syndrome in patients with nanophthalm and angle-closure glaucoma. National Journal glaucoma. 2018;17(2):12-19. (In Russ.)
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