The walls are caving in..
This 58yo male woke up with painless visual disturbances in both eyes. There was no preceding events or illness to note and his ocular and medical history was unremarkable.
On examination, visual acuity was BE 6/12, his anterior segment was quiet and IOPs were normal. Posterior examination revealed circumferential choroidal detachments in both eyes with minimal associated exudative subretinal fluid and no evidence of vitritis.
Angiography confirmed lack of any vasculitis or posterior inflammation. B-Scans excluded scleritis and increased scleral thickness. Systemic cardiovascular, inflammatory and infectious workup was normal.
This patient was therefore diagnosed with Uveal Effusion Syndrome (UES) which is a rare condition and a diagnosis of exclusion.
This patient fortunately responded to a course of systemic corticosteroids with total resolution occuring at 2 month review. Some patients are not so fortunate and require sclerectomies or scleral windows to allow egress of the suprachoroidal fluid.
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