Abstract
A 66-year-old man presented with massive bilateral scleral thickening and calcification associated with a unilateral exudative retinal detachment which did not respond to systemic anti-inflammatory agents including steroids and cyclophosphamide but improved with scleral resection. This patient shows the features of both posterior scleritis and the uveal effusion syndrome, providing further evidence for the role of a thickened sclera and interference with the trans-scleral flow of fluid in the formation of such an exudative retinal detachment.
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- Berger B., Reeser F. Retinal pigment epithelial detachments in posterior scleritis. Am J Ophthalmol. 1980 Nov;90(5):604–606. doi: 10.1016/s0002-9394(14)75126-8. [DOI] [PubMed] [Google Scholar]
- Blankenship G. Preoperative iris rubeosis and diabetic vitrectomy results. Ophthalmology. 1980 Mar;87(3):176–182. doi: 10.1016/s0161-6420(80)35255-x. [DOI] [PubMed] [Google Scholar]
- Brockhurst R. J., Lam K. W. Uveal effusion. II. Report of a case with analysis of subretinal fluid. Arch Ophthalmol. 1973 Nov;90(5):399–401. doi: 10.1001/archopht.1973.01000050401015. [DOI] [PubMed] [Google Scholar]
- Brockhurst R. J. Vortex vein decompression for nanophthalmic uveal effusion. Arch Ophthalmol. 1980 Nov;98(11):1987–1990. doi: 10.1001/archopht.1980.01020040839008. [DOI] [PubMed] [Google Scholar]
- Brubaker R. F., Pederson J. E. Ciliochoroidal detachment. Surv Ophthalmol. 1983 Mar-Apr;27(5):281–289. doi: 10.1016/0039-6257(83)90228-x. [DOI] [PubMed] [Google Scholar]
- Calthorpe C. M., Watson P. G., McCartney A. C. Posterior scleritis: a clinical and histological survey. Eye (Lond) 1988;2(Pt 3):267–277. doi: 10.1038/eye.1988.52. [DOI] [PubMed] [Google Scholar]
- Casswell A. G., Gregor Z. J., Bird A. C. The surgical management of uveal effusion syndrome. Eye (Lond) 1987;1(Pt 1):115–119. doi: 10.1038/eye.1987.17. [DOI] [PubMed] [Google Scholar]
- Cleary P. E., Watson P. G., McGill J. I., Hamilton A. M. Visual loss due to posterior segment disease in scleritis. Trans Ophthalmol Soc U K. 1975 Jul;95(2):297–300. [PubMed] [Google Scholar]
- Evans N. M. Ocular ossification. A case report and review of the literature. Trans Ophthalmol Soc U K. 1986;105(Pt 3):330–336. [PubMed] [Google Scholar]
- Feldon S. E., Sigelman J., Albert D. M., Smith T. R. Clinical manifestations of brawny scleritis. Am J Ophthalmol. 1978 Jun;85(6):781–787. doi: 10.1016/s0002-9394(14)78105-x. [DOI] [PubMed] [Google Scholar]
- Forrester J. V., Lee W. R., Kerr P. R., Dua H. S. The uveal effusion syndrome and trans-scleral flow. Eye (Lond) 1990;4(Pt 2):354–365. doi: 10.1038/eye.1990.48. [DOI] [PubMed] [Google Scholar]
- Foulds W. S., Damato B. E. Does vitrectomy increase trans-scleral water movement? Eye (Lond) 1988;2(Pt 2):226–228. doi: 10.1038/eye.1988.41. [DOI] [PubMed] [Google Scholar]
- Gass J. D., Jallow S. Idiopathic serous detachment of the choroid, ciliary body, and retina (uveal effusion syndrome). Ophthalmology. 1982 Sep;89(9):1018–1032. doi: 10.1016/s0161-6420(82)34685-0. [DOI] [PubMed] [Google Scholar]
- Gass J. D. Uveal effusion syndrome: a new hypothesis concerning pathogenesis and technique of surgical treatment. Trans Am Ophthalmol Soc. 1983;81:246–260. [PMC free article] [PubMed] [Google Scholar]
- Green W. R., Kincaid M. C., Fogle J. A. Uveal effusion syndrome. Trans Ophthalmol Soc U K. 1981 Sep;101(3):368–375. [PubMed] [Google Scholar]
- Mannis M. J., Tamaru R., Roth A. M., Burns M., Thirkill C. Acanthamoeba sclerokeratitis. Determining diagnostic criteria. Arch Ophthalmol. 1986 Sep;104(9):1313–1317. doi: 10.1001/archopht.1986.01050210067027. [DOI] [PubMed] [Google Scholar]
- Marmor M. F. Control of subretinal fluid: experimental and clinical studies. Eye (Lond) 1990;4(Pt 2):340–344. doi: 10.1038/eye.1990.46. [DOI] [PubMed] [Google Scholar]
- McCluskey P., Wakefield D. Intravenous pulse methylprednisolone in scleritis. Arch Ophthalmol. 1987 Jun;105(6):793–797. doi: 10.1001/archopht.1987.01060060079037. [DOI] [PubMed] [Google Scholar]
- Moseley H., Foulds W. S., Allan D., Kyle P. M. Routes of clearance of radioactive water from the rabbit vitreous. Br J Ophthalmol. 1984 Mar;68(3):145–151. doi: 10.1136/bjo.68.3.145. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vine A. K. Uveal effusion in Hunter's syndrome. Evidence that abnormal sclera is responsible for the uveal effusion syndrome. Retina. 1986 Winter-Spring;6(1):57–60. [PubMed] [Google Scholar]
- Ward R. C., Gragoudas E. S., Pon D. M., Albert D. M. Abnormal scleral findings in uveal effusion syndrome. Am J Ophthalmol. 1988 Aug 15;106(2):139–146. doi: 10.1016/0002-9394(88)90825-2. [DOI] [PubMed] [Google Scholar]
- Watson P. G. Doyne Memorial Lecture, 1982. The nature and the treatment of scleral inflammation. Trans Ophthalmol Soc U K. 1982 Jul;102(Pt 2):257–281. [PubMed] [Google Scholar]







