Full-thickness Sclerotomy for Uveal Effusion Syndrome
A 43-year-old man was referred to our retinal clinic due to decreased visual acuity in the left eye lasting for one month. He had been wearing glasses for hyperopia since he was younger than ten years. A gradual decrease in visual acuity led him to seek care at another hospital, where he was found to have a serous retinal detachment in the left eye. He was subsequently referred to our clinic.\nAt presentation, his best-corrected visual acuity (BCVA) was 0.3 and 0.01 logarithm of minimum angle resolution (logMAR), and spherical equivalents were +14.0 diopters (D) and +16.0 D in the right and left eyes, respectively. Fundus examination revealed nanophthalmic fundi in both eyes. In the left eye, there was uveal effusion involving the macula. The axial length was 16.41 mm in the right eye and 16.24 mm in the left eye on A-scan and B-scan ultrasonograms. Optical coherence tomography (OCT) showed a thickened sclera and retinal detachment (). Under general anesthesia, a drainage sclerotomy was conducted in all four quadrants of the left eye. One month postoperatively, a flat retina was seen on fundus examination and OCT (). The retina remained attached during the seven-month follow-up period, and an improved BCVA of 0.3 logMAR was achieved. We did not observe subretinal fluid or choroidal effusion in the fellow eye.