Long Term Follow-up of Cases of Uveal Effusion Syndrome Treated with Partial Thickness Sclerectomies

Purpose: To report the effect of partial thickness sclerectomy in patients with idiopathic uveal effusion syndrome. Study Design: Interventional case series. Place and Duration of Study: Multi-center study at LRBT eye hospital, Medicare hospital and Mayo hospital, Lahore from January 2010 to August2015. Material and Methods: Total six eyes of four patients (two males and two females) with bilateral idiopathic uveal syndrome were included in the study. The diagnosis was clinically confirmed on B scan ultrasonography, which confirmed relatively short axial length, exudative retinal detachment and scleral thickening. The surgical procedure included 360 degrees peritomy, followed by partial thickness sclerotomies measuring 4 x 6 mm placed in between the recti muscles. Results: All six (6) patients showed clinical improvement in visual acuity. Preoperative visual acuity was perception of light (PL) in all cases which improved to 6/36-6/24 at 12 weeks follow up. On fundoscopy and B scan ultrasound there was resolution of exudative retinal detachment after partial thickness sclerectomies in all cases. The intraocular pressure was high (26 mm Hg) in only one case which improved to 18 mm Hg at 12 weeks follow-up. All other cases had IOP within normal limits pre and post operatively. Conclusion: Partial thickness sclerectomy is an effective treatment option for patients of uveal effusion syndrome not responding to medical treatment.