Journal List > J Korean Ophthalmol Soc > v.53(8) > 1009143

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Kim, Kim, Han, Chung, Seo, Yoo, and Park: Scleral Window Surgery with Mitomycin C for Nanophthalmic Uveal Effusion: Case Report
Case Report
Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2012; 53(8): 1157-1162.

Published online: 17 August 2012

DOI: https://doi.org/10.3341/jkos.2012.53.8.1157

Scleral Window Surgery with Mitomycin C for Nanophthalmic Uveal Effusion: Case Report

Seong Jae Kim, MD1, 2, Gyu Nam Kim, MD1, Yong Seop Han, MD1, 2, In Young Chung, MD, PhD1, 2, Seong Wook Seo, MD, PhD1, 2, Ji Myong Yoo, MD, PhD1, 2, Jong Moon Park, MD, PhD1, 2

1Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea.

2Gyeongsang Institute of Health Science, Gyeongsang National University, Jinju, Korea.

Address reprint requests to Jong Moon Park, MD, PhD. Department of Ophthalmology, Gyeongsang National University Hospital, #79 Gangnam-ro, Jinju 660-702, Korea. Tel: 82-55-750-8167, Fax: 82-55-758-4158, parkjm@gnu.ac.kr

Received 10 December 2011       Accepted 2 June 2012

Copyright © 2012 The Korean Ophthalmological Society

Abstract

Purpose

To report the case of a 36-year-old patient with nanophthalmic uveal effusion was treated with scleral window surgery and topical administration of mitomycin C (MMC).

Case summary

A 36-year-old woman presented with decreased visual acuity and blurred vision in the both eyes during 3 months. Fundus examination revealed choroidal effusion and retinal detachment with thickend sclera wall and short axial lengh. Partial-thickness sclera flap with deep sclerostomy was performed and topical MMC was administered to one quadrant of the equatorial sclera. The subretinal fluid resorbed gradually and visual acuity improved.

Conclusions

Scleral window surgery and topical mitomycin C might relieve the blocked transscleral outflow of intraocular fluid in the small area of a sclerostomy in young patient with nanophthlamos.

Keywords: Mitomycin C, Nanophthalmos, Scleral window surgery, Uveal effusion syndrome

Figures and Tables

Figure 1
Preoperative examination. Fundus photographs showed tortuous dilated retinal vessels and choroidal folding in the both eyes, and serous retinal detachment at left macular area (A and B). Fluorescein angiogram showed diffuse hyperfluorescence in the choroid that appeared in the early phase (C) and in the late phase, showed dye pooling in the left macular area (D). Central macular thikness checked by optical coherence tomography (OCT) were 370 µm in the right eye and 762 µm in the left eye (E).
jkos-53-1157-g001
Figure 2
Preoperative B-scan ultrasonography (A: right eye, B: left eye) and T2-weighted magnetic resonance image (C) showed small eyes, thicked sclera and thickened choroid, especially in the left eye.
jkos-53-1157-g002
Figure 3
Postoperative examination 2 years after sclera window surgery and topical administration of mitomycin C (MMC). Fundus photographs (A, B) and optical coherence tomography (C) showed no serous retinal detachment or choroidal folding C in the both eyes.
jkos-53-1157-g003

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