Uveal effusion syndrome: a case report.

Area of Science:

• Ophthalmology
• Medical Case Reports

Background:

• Uveal effusion syndrome (UES) is a rare condition with limited literature on its clinical presentation, diagnosis, and management.
• UES poses a significant risk for severe ocular complications, including non-rhegmatogenous retinal detachment, angle closure glaucoma, and potential blindness.

Observation:

• A 68-year-old male presented with acute visual symptoms, eye pain, and elevated intraocular pressure, initially suspected as intermittent angle closure glaucoma.
• Diagnostic workup revealed bilateral choroidal effusions via B-scan and fundus photography, confirming uveal effusion syndrome.
• Magnetic resonance imaging (MRI) excluded hemorrhage or mass as causative factors.

Findings:

• The patient received a multimodal treatment approach including laser peripheral iridotomy, topical and oral glaucoma medications, and a corticosteroid taper (prednisone).
• Initial management focused on reducing intraocular pressure, followed by treatment targeting the underlying uveal effusion.
• Complete resolution of choroidal effusions was observed with timely intervention and specialist collaboration.

Implications:

• This case highlights the importance of early detection and comprehensive diagnostic evaluation in managing UES.
• Cross-collaboration among ophthalmology specialists (glaucoma and retina) is vital for optimizing patient care and visual outcomes in UES.
• Addressing knowledge gaps in UES through detailed case reports aids in improving clinical practice and patient management strategies.