A patient with an ocular history of a retinal detachment (RD) in the left eye (OS) status post repair by pars plana vitrectomy (PPV) complicated by suprachoroidal hemorrhage presented with bullous serous RD in the right eye (OD). His initial visual acuity (VA) was hand motion (HM) OD and light perception (LP) OS. Ultrasound demonstrated the absence of retinal tears, a thickened choroid, and an axial length of 23.6 mm. The patient underwent an infectious and inflammatory laboratory evaluation including testing for syphilis, tuberculosis, rheumatoid factor, angiotensin converting enzyme and antineutrophil cytoplasmic antibodies, all of which were unremarkable. The patient declined a trial of oral steroids. After one month of observation, the serous RD progressed and his vision declined to LP. At this time, the patient elected to undergo surgical repair. Partial thickness scleral windows were performed in all four oblique quadrants, and a full thickness incision was made in the area of thinned sclera. The patient achieved a favorable visual and anatomic recovery, with 20/200 Snellen visual acuity at final follow up. The patient’s exam findings are documented in images alongside a review of uveal effusion syndrome and possible treatment options.
Presentation Date: 04/01/2021
Issue Date: 04/23/2021