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Uveal effusion and ultrasonic imaging: a clinical series
Hans C Fledelius1, Helle Josefine Fuchs, Peter Koch Jensen
1Rigshospitalet, University Eye Department E 2061, Copenhagen, Denmark. RH03217@rh.dk
Purpose:
To establish the diagnostic role of imaging by ultrasound for the diagnosis of uveal effusion syndrome.
Methods:
Using ultrasonic imaging features as the main criteria for evaluation, the recorded data from 16 patients with presumed uveal effusion seen between 1994 and 2000 were reviewed and analysed for clinical manifestations and current diagnostic suggestions. Eventually, as cumulating experience suggested that ultrasound is capable of indicating uveal effusion, the study set-up became in part more prospective.
Results:
The two main ultrasonic features found were: (1) extended multi-layered detachment patterns by B-scan, often kinetically mobile; (2) a spongy oedematous ciliary body region, often with interstitial lacunae, as demonstrated by high-resolution ultrasound biomicroscopy (50 Mhz).
Conclusions:
In patients with visual loss and ambiguous detachment-like fundus pathology, ultrasonic features are often of practical guidance for diagnosing uveal effusion syndrome.