A new approach to the surgical management of idiopathic uveal effusion syndrome.

Abstract

To describe a new method for managing retinal detachment associated with idiopathic uveal effusion syndrome. A 73-year-old man with idiopathic uveal effusion syndrome and total retinal detachment in the right eye underwent quadrantic partial-thickness sclerectomies in conjunction with pars plana vitrectomy, internal drainage of subretinal fluid, and fluid-gas exchange. In the right eye, the patient's retina remained attached for 1 year after the procedure, and visual acuity improved to 20/70 on final follow-up. Internal drainage of subretinal fluid performed in conjunction with quadrantic partial-thickness sclerectomies may be a preferred method of treating secondary retinal detachment in idiopathic uveal effusion syndrome. This procedure hastens reattachment of the neurosensory retina and may thereby improve the visual outcome.