Presentation
Deep retinal or subretinal exudates may appear prior to serous detachment, and optic nerve edema may be present.2,3 There may be mild to moderate vitreous cell.2 Hyperpigmented changes in the retinal pigment epithelium (RPE), termed leopard spots, and [retinatoday.com]
Eyes
- Blurred Vision
Symptoms Vision loss, blurred vision IOP is normal or elevated Clinical diagnosis Detachments of choroid and ciliary body Non-rhegmatogenous retinal detachment with shifting fluid as the subretinal fluid is heavy and contains proteins Evidence of uveal [eyewiki.aao.org]
Gradual superior visual field loss is the most common initial complaint, but patients may also report blurred vision or metamorphopsia.2 The magnitude of choroidal elevation in UES is highly variable, but it typically begins in the periphery. [retinatoday.com]
Treatment
General treatment Treatment with systemic steroids does not appear to be effective. [eyewiki.aao.org]
This may have implications for treatment, as the normal-sized, normal thickness eyes did not respond to sclerectomy.13 EVALUATION UES is a diagnosis of exclusion. [retinatoday.com]
Prognosis
Prognosis The largest case series suggests that sclerectomy produces an anatomic improvement in approximately 83% of treated eyes after a single procedure and in about 96% after one or two procedures. [eyewiki.aao.org]
Epidemiology
EPIDEMIOLOGY UES is extremely rare. Patients are typically middle-aged men.2 Approximately 65% of cases are bilateral. [retinatoday.com]
Pathophysiology
Pathophysiology The pathogenesis of uveal effusion syndrome, also referred to as idiopathic ciliochoroidal effusion, though has not been clearly defined. [eyewiki.aao.org]
Uveal effusion syndrome: clinical features, surgical treatment, histologic examination of the sclera, and pathophysiology. Ophthalmology. 2000;107(3):441-449. 14. Davies EW, Sanders MD, Harry J. Annular serous detachment of the choroid. [retinatoday.com]