Vortex Vein Decompression for Nanophthalmic Uveal Effusion

Retinal pigment epithelial tear and extensive exudative retinal detachment following blunt trauma

“…However, in our case, extensive retinal detachment with shifting subretinal fluid caused by extensive choroidal leakage from the abnormal RPE was observed, as in bullous retinal detachment with CSC [14]. Further, as in uveal diffusion syndrome [3,6], normal IOP and nonrhegmatogenous retinal detachment with shifting subretinal fluids were found, and choroidal detachment developed after cryotherapy. Therefore, there might have been choroidal congestion in our case.…”

“…Sclerectomy and sclerostomy are generally performed to treat uveal effusion syndrome in nanophthalmic eyes [6], which probably results from choroidal congestion [3]. However, Machida and coworkers [14] reported that sclerectomy and sclerostomy were also beneficial for bullous retinal detachment with CSC, which also might be associated with choroidal congestion, and the retinal detachment was treated by sclerectomy and sclerostomy, which reduced the choroidal congestion.…”

Retinal pigment epithelial tear and extensive exudative retinal detachment following blunt trauma

“…However, in our case, extensive retinal detachment with shifting subretinal fluid caused by extensive choroidal leakage from the abnormal RPE was observed, as in bullous retinal detachment with CSC [14]. Further, as in uveal diffusion syndrome [3,6], normal IOP and nonrhegmatogenous retinal detachment with shifting subretinal fluids were found, and choroidal detachment developed after cryotherapy. Therefore, there might have been choroidal congestion in our case.…”

“…Sclerectomy and sclerostomy are generally performed to treat uveal effusion syndrome in nanophthalmic eyes [6], which probably results from choroidal congestion [3]. However, Machida and coworkers [14] reported that sclerectomy and sclerostomy were also beneficial for bullous retinal detachment with CSC, which also might be associated with choroidal congestion, and the retinal detachment was treated by sclerectomy and sclerostomy, which reduced the choroidal congestion.…”

Exudative retinal detachment in nanophthalmos

“…Vortex vein decompression and scleral resections have been reported to be effective in the treatment of both idiopathic and nanophthalmic uveal effusion (Brockhurst 1980;Johnson & Gass 1990). As the scleral impermeability is basic to the pathophysiology of these conditions, Gass (1983) introduced the technique of sclerectomies and sclerostomies without decompression of the vortex veins.…”

“…Several authors have reported a high incidence of postoperative complications in nanophthalmic eyes, with severe uveal effusion and total retinal detachment a few days after surgery (Brockhurst 1975;Singh et al 1982;Jin & Anderson 1990). The sudden drop in IOP to zero, that occurs during a peripheral iridectomy, results in a relative increase in the choroidal venous pressure and an aggravation of the uveal effusion (Brockhurst 1980). Consequently, non-invasive therapy, like laser iridotomy or gonioplasty, is considered to be the treatment of choice in nanophthalmic angle closure (Singh et al 1982).…”

Developmental Basis of Nanophthalmos: MFRP Is Required for both Prenatal Ocular Growth and Postnatal Emmetropization

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Retinal pigment epithelial tear and extensive exudative retinal detachment following blunt trauma

“…However, in our case, extensive retinal detachment with shifting subretinal fluid caused by extensive choroidal leakage from the abnormal RPE was observed, as in bullous retinal detachment with CSC [14]. Further, as in uveal diffusion syndrome [3,6], normal IOP and nonrhegmatogenous retinal detachment with shifting subretinal fluids were found, and choroidal detachment developed after cryotherapy. Therefore, there might have been choroidal congestion in our case.…”

“…Sclerectomy and sclerostomy are generally performed to treat uveal effusion syndrome in nanophthalmic eyes [6], which probably results from choroidal congestion [3]. However, Machida and coworkers [14] reported that sclerectomy and sclerostomy were also beneficial for bullous retinal detachment with CSC, which also might be associated with choroidal congestion, and the retinal detachment was treated by sclerectomy and sclerostomy, which reduced the choroidal congestion.…”

Exudative retinal detachment in nanophthalmos

“…Vortex vein decompression and scleral resections have been reported to be effective in the treatment of both idiopathic and nanophthalmic uveal effusion (Brockhurst 1980;Johnson & Gass 1990). As the scleral impermeability is basic to the pathophysiology of these conditions, Gass (1983) introduced the technique of sclerectomies and sclerostomies without decompression of the vortex veins.…”

“…Several authors have reported a high incidence of postoperative complications in nanophthalmic eyes, with severe uveal effusion and total retinal detachment a few days after surgery (Brockhurst 1975;Singh et al 1982;Jin & Anderson 1990). The sudden drop in IOP to zero, that occurs during a peripheral iridectomy, results in a relative increase in the choroidal venous pressure and an aggravation of the uveal effusion (Brockhurst 1980). Consequently, non-invasive therapy, like laser iridotomy or gonioplasty, is considered to be the treatment of choice in nanophthalmic angle closure (Singh et al 1982).…”

Developmental Basis of Nanophthalmos: MFRP Is Required for both Prenatal Ocular Growth and Postnatal Emmetropization

“……”

Retinal pigment epithelial tear and extensive exudative retinal detachment following blunt trauma

“…However, in our case, extensive retinal detachment with shifting subretinal fluid caused by extensive choroidal leakage from the abnormal RPE was observed, as in bullous retinal detachment with CSC [14]. Further, as in uveal diffusion syndrome [3,6], normal IOP and nonrhegmatogenous retinal detachment with shifting subretinal fluids were found, and choroidal detachment developed after cryotherapy. Therefore, there might have been choroidal congestion in our case.…”

“…Sclerectomy and sclerostomy are generally performed to treat uveal effusion syndrome in nanophthalmic eyes [6], which probably results from choroidal congestion [3]. However, Machida and coworkers [14] reported that sclerectomy and sclerostomy were also beneficial for bullous retinal detachment with CSC, which also might be associated with choroidal congestion, and the retinal detachment was treated by sclerectomy and sclerostomy, which reduced the choroidal congestion.…”

Exudative retinal detachment in nanophthalmos

“…Vortex vein decompression and scleral resections have been reported to be effective in the treatment of both idiopathic and nanophthalmic uveal effusion (Brockhurst 1980;Johnson & Gass 1990). As the scleral impermeability is basic to the pathophysiology of these conditions, Gass (1983) introduced the technique of sclerectomies and sclerostomies without decompression of the vortex veins.…”

“…Several authors have reported a high incidence of postoperative complications in nanophthalmic eyes, with severe uveal effusion and total retinal detachment a few days after surgery (Brockhurst 1975;Singh et al 1982;Jin & Anderson 1990). The sudden drop in IOP to zero, that occurs during a peripheral iridectomy, results in a relative increase in the choroidal venous pressure and an aggravation of the uveal effusion (Brockhurst 1980). Consequently, non-invasive therapy, like laser iridotomy or gonioplasty, is considered to be the treatment of choice in nanophthalmic angle closure (Singh et al 1982).…”

Developmental Basis of Nanophthalmos: MFRP Is Required for both Prenatal Ocular Growth and Postnatal Emmetropization

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