A new approach to the surgical management of idiopathic uveal effusion syndrome.
OBJECTIVE
To describe a new method for managing retinal detachment associated with idiopathic uveal effusion syndrome.


METHODS
A 73-year-old man with idiopathic uveal effusion syndrome and total retinal detachment in the right eye underwent quadrantic partial-thickness sclerectomies in conjunction with pars plana vitrectomy, internal drainage of subretinal fluid, and fluid-gas exchange.


RESULTS
In the right eye, the patient's retina remained attached for 1 year after the procedure, and visual acuity improved to 20/70 on final follow-up.


CONCLUSIONS
Internal drainage of subretinal fluid performed in conjunction with quadrantic partial-thickness sclerectomies may be a preferred method of treating secondary retinal detachment in idiopathic uveal effusion syndrome. This procedure hastens reattachment of the neurosensory retina and may thereby improve the visual outcome.
Schneiderman
T E
TE
W.K. Kellogg Eye Center, Department of Ophthalmology, University of Michigan School of Medicine, Ann Arbor 48105, USA.
Johnson
M W
MW
D000368:Aged; D001826:Body Fluids / Q000378:metabolism; D004322:Drainage; D005122:Exudates and Transudates / Q000378:metabolism*; D006801:Humans; D008297:Male; D012160:Retina / Q000378:metabolism; D012163:Retinal Detachment / Q000378:metabolism* / Q000601:surgery*; D012590:Sclera / Q000601:surgery; D013577:Syndrome; D014603:Uveal Diseases / Q000378:metabolism* / Q000601:surgery*; D014821:Vitrectomy