Sclerotomy in Uveal Effusion Syndrome

Abstract

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.

Uveal effusion syndrome mimicking severe chronic posterior uveitis: a case series of seven eyes of four patients

“…To date, several surgical techniques have been described for the management of UES, including vortex vein decompression, sclerostomy and sclerectomy [3][4][5][6][7][8][9]. All of these procedures have been effective for the resolution of ciliochoroidal detachment.…”

Uveal effusion associated with an IgM lambda subtype monoclonal gammopathy

“…8 Accordingly, the most widely applied technique is superficial sclerotomy followed by deep sclerectomy, a simple technique with very good results. 2 MGIS is characterized by the presence of genetically identical cells which produce immunoglobulin detected in blood in the form of a monoclonal strip.…”

A Modified Ultrasound-Guided Surgical Technique for the Management of the Uveal Effusion Syndrome in Patients With Normal Axial Length and Scleral Thickness

“…1,5,6 Several surgical techniques have been reported to date. [2][3][4][5][6]9,[17][18][19] Aside from vortex vein decompression, 3 which is no longer thought to be necessary, 6 the other reported techniques involve performing scleral thinning procedures (partial thickness sclerectomies) and/or scleral openings (sclerostomies or sclerotomies) in an attempt to alleviate the scleral impedance to transscleral outflow. However, these studies share one main drawback.…”

“…The scleral surgery in all of them was performed at fixed and hypothetically predetermined distances from the limbus regardless of the anatomical location of the choroidal pathology about the limbus. 2,[4][5][6]9,[17][18][19] Two sites for scleral surgery have been reported to be effective to date, equatorial in the vicinity of the vortex vein exit site 2-6 and 4 mm posterior to the limbus. 9 No clear rationale for choosing either site has been provided in the respective studies, and it is not clear from the literature if scleral surgery has been as precisely localized previously as in our study.…”

“…1,4,6 Several surgical procedures have been reported for treatment of UES. [3][4][5][6]9 Aside from vortex vein decompression. 3 Other reported techniques involve performing scleral thinning procedures (partial sclerectomies) and/or scleral openings (sclerostomies or sclerotomies) at a fixed and hypothetically predetermined distances from the limbus regardless of the anatomical location of the choroidal swelling.…”