scholarly journals Spectrum of Angle Closure, Uveal Effusion Syndrome, and Nanophthalmos

2016 ◽  
Vol 10 (3) ◽  
pp. 113-117 ◽  
Author(s):  
Eric Areiter ◽  
Matthew Neale ◽  
Sandra M Johnson
2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Ning Yang ◽  
Siyan Jin ◽  
Linlin Ma ◽  
Jia Liu ◽  
Chenli Shan ◽  
...  

Microphthalmos is a type of developmental disorder ophthalmopathy, which can occur isolated or combined with other ocular malformations and can occur secondary to a systemic syndrome. Nanophthalmos is one of the clinical phenotypes of microphthalmos. Due to the special and complex structure of nanophthalmic eyes, the disorder is often associated with many complications, including high hyperopia, angle-closure glaucoma, and uveal effusion syndrome. The management of these complications is challenging, and conventional therapeutic methods are often ineffective in treating them. The purpose of this paper was to review the concept of nanophthalmos and present the latest progress in the study of the pathogenesis and treatment of its complications. As it is considerably challenging for ophthalmologists to prevent or treat these nanophthalmos complications, timely diagnosis and a suitable clinical treatment plan are vital to ensure that nanophthalmos patients are treated and managed effectively.


Eye ◽  
2011 ◽  
Vol 25 (9) ◽  
pp. 1236-1238 ◽  
Author(s):  
M Bhogal ◽  
D Mitry ◽  
M Restori ◽  
I Subak-Sharpe

Author(s):  
Simanta Khadka ◽  
Raghundandan Byanju ◽  
Sangita Pradhan ◽  
Saurav Piya ◽  
Sweta Singh ◽  
...  

Introduction: Nanophthalmos characterized by short axial length, high lens-to-eye ratio and thick sclera, is more prone to develop uveal effusion syndrome (UES). This rare entity can result in idiopathic exudative detachment of the choroid, ciliary body and retina. Abnormality in the scleral thickness with resultant obstruction of the vortex veins and reduced trans-scleral drainage of fluid is responsible for exudative retinal detachment (ERD). Methods: A retrospective study of UES in nanophthalmic patients treated with partial thickness sclerectomy in tertiary eye care centre from January 2015 to June 2019.  Five eyes of five patients (four males and one female) with a diagnosis of nanophthalmos suffered from angle closure glaucoma associated with ERD. Raised intra-ocular pressure (IOP) not amenable to conservative medical management were subjected to surgery. Lamellar sclerectomy was performed in two or more quadrants without drainage which was judged on the basis of maximum amount of exudative fluid present in the subsequent quadrants. Results: The average age at surgery was 39.2 years and the mean follow-up duration was 9.2 months (6 to 18 months). Revision sclerectomy was required in 2/5 (60%) eyes. The serous fluid gradually resolved and retina remained reattached at the end of final follow up. The useful vision was preserved and IOP was normalized. Conclusion: Nanophthalmic UES remains a challenging clinical entity. Partial thickness sclerectomy may be an effective option in the treatment of nanophthalmic UES, not amenable to the conventional medical management in a low resource setup.


2013 ◽  
Vol 27 (4) ◽  
pp. 294 ◽  
Author(s):  
Mingui Kong ◽  
Jae Hui Kim ◽  
Sang Jin Kim ◽  
Se Woong Kang

2006 ◽  
Vol 20 (2) ◽  
pp. 124 ◽  
Author(s):  
Jong Hyun Lee ◽  
Jin Young Choi ◽  
Sung Soo Kim

2017 ◽  
Vol 8 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Hiroshi Sakai ◽  
Michiko Yonahara ◽  
Miyako Sakai

A 59-year-old woman was seen by an ophthalmologist for blurred vision, ocular pain, headache, and nausea. She was diagnosed with acute primary angle closure (APAC) and successfully treated with medications. Using ultrasound biomicroscopy (UBM), engorged episcleral vein was observed and small uveal effusion was diagnosed after laser peripheral iridotomy (LPI). The uveal effusion disappeared and was again diagnosed by UBM together with anterior segment inflammation with ocular pain. Iritis caused by LPI after APAC might be a cause of uveal effusion in this specific case.


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