Vortex vein decompression for nanophthalmic uveal effusion
R. J. Brockhurst
Uveal effusion in nanophthalmic eyes probably is the result of choroidal
congestion secondary to imparied vortex venous drainage through the thick
sclera that is characteristic of nanophthalmos. Ten eyes with
nonrhegmatogenous retinal detachment, occurring in nanophthalmic eyes, were
treated by vortex vein decompression and, in some cases, drainage of
choroidal and/or subretinal fluid with air injection into the vitreous
cavity. Eight of the ten eyes showed reattachment of the retina after this
procedure. There results support the hypothesis that choroidal congestion
is the basic mechanism of nanophthalmic uveal effusion.
