case of atypical idiopathic choroidal effusion syndrome

ABSTRACT

Uveal effusion syndrome is characterized by annular ciliochoroidal detachment, shifting non-rhegmatogenous retinal detachment, unremarkable inflammation in the anterior eye segment and normal intraocular pressure. A 36-year-old Caucasian hypermetropic male presented in the eye casualty with a week history of curtain like effect in front of his left eye associated with worsening of vision and flashing lights. Left fundus examination revealed retinal detachment with smooth shaped elevation superonasaly and detached retina inferiorly confirmed on ultrasound B-scan with no tobacco dust in the anterior vitreous. Diagnosis of uveal effusion syndrome was made. Lamellar sclerectomies in the two quadrants were performed. Fourteen months postoperatively, the left eye choroidal effusion gradually settled down and at 18 months the retina flattened. Early diagnosis, close follow-up, and appropriate management are mandatory to improve or maintain visual function in such patients