Posterior uveal effusion syndrome after trabeculectomy in an eye with ocular venous congestion
- N Bhagat1,
- J I Lim2,
- D S Minckler2,
- R L Green2
- 1Department of Ophthalmology, DOC - 6th Floor, 90 Bergen Street, New Jersey Medical School, Newark, NJ 07103, USA
- 2Doheny Eye Institute, CA, USA
- Correspondence to: J I Lim Doheuy Eye Institute, 1450 San Pablo Street, Los Angeles, CA 90033, USA; bhagatneumdnj.edu
- Accepted 2 April 2003
Schepens and Brockhurst,1 in 1963, used the term uveal effusion syndrome to describe spontaneous bilateral serous detachments of the choroid and ciliary body with exudative retinal detachment, primarily occurring in middle aged healthy males. Many cases have been reported since then, especially in nanophthalmic eyes.1–3
We report an interesting case of a young, healthy female patient with mild ocular venous congestion who developed posterior serous retinal detachment and uveal effusions after trabeculectomy for open angle glaucoma.
Case report
A 32 year old white female was referred to the glaucoma service at Doheny Eye Institute for high intraocular pressure in the left eye. Visual acuity was 20/20 right eye and 20/25 left eye. Manifest refraction was +2.75+1.50×13 right eye and +0.50+2.00×160 left. An afferent pupillary defect was noted in the left eye. Applanation intraocular pressures were 17 mm Hg right eye and 36 mm Hg left.
Slit lamp examination of both eyes revealed dilated and tortuous conjunctival and episcleral vessels, although more obvious in the left eye than the right eye. The anterior chambers were deep and quiet. The cornea and lens were clear.
Gonioscopic evaluation of both eyes showed open, grade IV Shafer angles with no peripheral anterior synechiae. Blood was noted in Schlemm’s canal of both eyes. Cup to disc ratios were 0.80 right eye and 0.95 …
