Pachychoroid findings in a case of uveal effusion syndrome

Jin, Shicheng; Francisconi, Carolina L.M.; Wong, David T.

doi:10.1016/j.jcjo.2019.08.002

Cited by 9 publications

(9 citation statements)

References 14 publications

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“…6 , 12 Furthermore, cases of UES with pachychoroid features have recently been described. 13 , 14 Perhaps these cases represented atypical manifestations of bullous CSC similar to our case or whether choroidal hyperpermeability is a possible feature of disease overlap.…”

supporting

confidence: 63%

Choroidal effusion as a manifestation of central serous chorioretinopathy: A case report

Tran

Okada

Goh

et al. 2022

American Journal of Ophthalmology Case Reports

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Purpose To report a case of bullous central serous chorioretinopathy presenting with large choroidal effusions. Observations A patient presented with typical features of bullous central serous chorioretinopathy with large choroidal effusions. He had a previous history of bullous central serous chorioretinopathy in his other eye. The condition worsened after a short course of oral prednisolone, consistent with central serous chorioretinopathy. Surgical management with sclerectomies resulted in resolution of serous retinal detachment, choroidal effusions and subfoveal fluid. Conclusions We report choroidal effusions as a potential manifestation of central serous chorioretinopathy which may aid in our understanding in the pathogenic mechanisms of this condition. Furthermore, we demonstrate that surgical sclerectomies as a potential treatment option for serous retinal detachment and choroidal effusions in this condition.

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supporting

confidence: 63%

Choroidal effusion as a manifestation of central serous chorioretinopathy: A case report

Tran

Okada

Goh

et al. 2022

American Journal of Ophthalmology Case Reports

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“…They suggested intraoperative hypotony as a possible trigger that would have caused profuse vascular leakage due to preexisting choroidal perfusion abnormalities including choroidal hyperperfusion and hyperpermeability. Jin et al 10 recently described a typical case of uveal effusion syndrome, that responded well to vortex vein decompression surgery (scleral window surgery) and postoperative swept-source optical coherence tomography revealed pachychoroid features. They hypothesized that pachychoroid disease may be associated with a conges-tion secondary to scleral abnormalities and may secondarily increase choroidal hydrostatic pressure, leading to increased choroidal thickening.…”

Section: Discussionmentioning

confidence: 99%

Atypical Central Serous Chorioretinopathy With Choroidal Detachment: A Case Report

Manayath

Kuthirummal

Ranjan

et al. 2022

RETINAL Cases &Amp; Brief Reports

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“…In 2019, Jin and colleagues demonstrated speci c pachychoroid features such as thinning of the Sattler layer and thickened Haller veins in a case with UES 15 .…”

Section: Discussionmentioning

confidence: 99%

Scleral thickness as a risk factor for central serous chorioretinopathy and pachychoroid neovasculopathy

Keidel

Schworm

Langer³

et al. 2022

Preprint

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Background/Objectives. While the exact pathophysiology of pachychoroid disorders remains unclear, scleral changes inducing increased venous outflow resistance are hypothesized to be involved. This work aims to investigate anterior scleral thickness (AST) as a risk factor for central serous chorioretinopathy (CSC) and pachychoroid neovascularization (PNV). Subjects/Methods. Randomized prospective case-control study performed at the Ludwig Maximilians-University, Department of Ophthalmology. 46 eyes of 46 patients were included, with 23 eyes in the CSC/PNV group (9 eyes with PNV) and 23 eyes in the control group. There was no difference in mean age (51.5 ± 8.0 (36 to 65) vs. 47.0 ± 12.9 (30 to 83) years; p = 0.122) or spherical equivalent (0.60 ± 2.23 (-5.5–4.6) vs. -0,93 ± 2.45 (-4.9–5.8); p = 0.441). In all patients, swept source OCT (SS-OCT) with an anterior segment module was used to measure AST. Subfoveal choroidal thickness (SFCT) was assessed using enhanced depth imaging OCT (EDI-OCT). AST and SFCT were then compared to an age and -refraction-matched control group. Results. A significantly higher AST was found in the CSC/PNV as compared to the control group (403.5 ± 68.6 (278 to 619) vs. 362.5 ± 62.6 (218 to 498) µm; p = 0.028). Moreover, the CSC/PNV group showed a higher SFCT (392.8 ± 92.8 (191–523) vs. 330.95 ± 116.5 (167–609) µm, p = 0.004). Conclusions. Compared to age- and refraction-matched controls, patients with CSC and PNV show a significantly thicker anterior sclera. Scleral thickness might contribute to the venous overload hypothesized to induce pachychoroid phenotypes.

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Pachychoroid findings in a case of uveal effusion syndrome

Cited by 9 publications

References 14 publications

Choroidal effusion as a manifestation of central serous chorioretinopathy: A case report

Choroidal effusion as a manifestation of central serous chorioretinopathy: A case report

Atypical Central Serous Chorioretinopathy With Choroidal Detachment: A Case Report

Scleral thickness as a risk factor for central serous chorioretinopathy and pachychoroid neovasculopathy

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