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Case Reports
. 2017 Aug 3;17(1):137.
doi: 10.1186/s12886-017-0530-3.

Acute uveal effusion during phacoemulsification with preoperative central serous chorioretinopathy: a case report

Ruiqi Chang  1   2   3   4 , Yu Du  1   2   3   4 , Zhou Peng  1   2   3   4 , Yi Lu  5   6   7   8 , Xiangjia Zhu  9   10   11   12
Affiliations
Case Reports

Acute uveal effusion during phacoemulsification with preoperative central serous chorioretinopathy: a case report

Ruiqi Chang et al. BMC Ophthalmol. .

Abstract

Background: We report a case of acute uveal effusion during phacoemulsification in an eye with preoperative chronic central serous chorioretinopathy (CSC).

Case presentation: A 55-year-old man with a history of chronic CSC for >18 months presented with bilateral opaque lenses. A preoperative ophthalmic examination showed suspected lenticonus and risky anatomical features, including a thick ciliary body, and anterior rotation of the ciliary process and iris root in both eyes. Optical coherence tomography (OCT) detected CSC in the left eye, but the results of fundus photography and B-scan ultrasonography were unremarkable. The anterior chamber flattened during phacoemulsification. Anterior vitrectomy was quickly performed for suspected infusion misdirection syndrome, and was followed by uneventful surgery. On postoperative day 1, fundus photography, type B ultrasound, and OCT revealed uveal exudation in the macula of the left eye. On postoperative day 50, the patient's visual acuity recovered to 20/32, and fundus photography, ultrasonography, and OCT revealed complete resolution of the uveal effusion.

Conclusions: This case suggests an association between preoperative CSC and uveal effusion during surgery, because choroidal hyperperfusion and hyperpermeability were present in the patient's CSC-affected eyes.

Keywords: Case report; Central serous chorioretinopathy; Choroidal hyperperfusion; Hyperpermeability; Infusion misdirection syndrome; Suprachoroidal hemorrhage; Uveal effusion.

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Conflict of interest statement

Ethics approval and consent to participate

All procedures in this study that involved human participants were performed in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. The Ethics Committee of the Eye and Ear, Nose, and Throat Hospital, Fudan University, approved the study.

Consent for publication

The patient provided written consent to publish this case report.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Ultrasound biomicroscopy of the right (a, b) and left (c, d) eyes. A shallow anterior chamber (asterisk) with a thick ciliary body and anteriorly rotated ciliary processes and iris root (arrow) were detected in both eyes
Fig. 2
Fig. 2
Changes in the eye with uveal effusion. a, b Preoperative fundus photography (a) and type B ultrasonography (b) were unremarkable. c Preoperative OCT revealed fluid accumulation (arrow) beneath the neurosensory retina, resulting in mild serous detachment. d Fundus photography on postoperative day 1 revealed suprachoroidal exudation in the macula. e Type B ultrasonography on postoperative day 1 revealed serous choroidal detachment, with little blood at the posterior pole (asterisk). f OCT on postoperative day 1 revealed a bulging macular choroid with edematous neuroepithelium and subfoveal effusion (arrow). (g, h) Fundus photography (g) and type B ultrasonography (h) on postoperative day 50 were unremarkable. i OCT on postoperative day 50 revealed complete resolution of the uveal effusion and mild serous detachment of CSC (arrow)
See this image and copyright information in PMC

References

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