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Arch Ophthalmol. 2000;118:1293-1295.

A 45-year-old man with primary systemic amyloidosis was found to have bilateral uveal effusions secondary to thickened sclera according to magnetic resonance imaging of the orbits. The patient was treated with bilateral sclerectomies and vortex vein decompression, and had an excellent outcome. Light microscopy of excised sclera revealed severe infiltration of the tissue by amyloid. To our knowledge, this is the first report of amyloid infiltration of the sclera leading to uveal effusion.

Simon C. K. Liew, MMed, FRACO; Peter J. McCluskey, MD, FRACO; Geoffrey Parker, FRACR; R. Frank Taylor, FRCS, FRACO
From the Departments of Ophthalmology (Drs Liew, McCluskey, and Taylor) and Radiology (Dr Parker), Royal Prince Alfred Hospital, Sydney, Australia.

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