Open AccessType III uveal effusion syndrome suspected to be related to pachychoroid spectrum disease
Author(s) -
Yuya Terubayashi,
Seita Morishita,
Ryohsuke Kohmoto,
Masashi Mimura,
Manabu Fukumoto,
Takaki Sato,
Takatoshi Kobayashi,
Teruyo Kida,
Tsunehiko Ikeda
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000021441
Subject(s) - medicine , ophthalmology , fundus (uterus) , sclera , retinal detachment , visual acuity , choroid , posterior pole , vitrectomy , optical coherence tomography , retinal , retina , physics , optics
We report a case of type III uveal effusion syndrome (UES) suspected to be related to pachychoroid spectrum disease. Patient concerns: A 42-year-old man became aware of visual field constriction and deterioration of visual acuity in his right eye. Diagnosis: Upon examination, a bullous non-rhegmatogenous retinal detachment was observed in the inferior 2 quadrants of the right eye fundus, and the subretinal fluid moved with postural changes. The axial length in that eye was 22.36 mm, thus indicating no nanophthalmia. Preoperative indocyanine green angiography revealed dilated choroidal vessels in the posterior pole of the right eye and mild leakage in the late phase. Optical coherence tomography examination revealed choroidal thickening in both eyes. Interventions: For treatment, we first performed sclerotomy, and the intraoperative findings showed no thickening of the sclera. Following surgery, reattachment of the retina was not achieved. Outcomes: Thus, we next performed vitrectomy, which led to successful reattachment of the retina. Lessons: In this case, we theorize that pachychoroid spectrum disease might have been involved in the pathogenesis of type III UES.