Scleral window surgery and topical mitomycin C for nanophthalmic uveal effusion complicated by renal failure: case report

Graefes Arch Clin Exp Ophthalmol. 2007 May;245(5):755-7. doi: 10.1007/s00417-006-0403-6. Epub 2006 Oct 6.

Abstract

Purpose: To describe the case of a 16-year-old patient with nanophthalmic uveal effusion associated with renal failure that was treated with scleral window surgery and topical administration of mitomycin C (MMC).

Methods: Case report.

Results: Total uveal effusion was restored in the nanophthalmic eyes. Partial-thickness scleral flap with deep sclerostomy was performed and topical MMC was administered to one quadrant of the equatorial sclera. The subretinal fluid resorbed gradually.

Conclusions: Topical MMC might relieve the blocked transscleral outflow of intraocular fluid in the small area of a sclerostomy in young patients with nanophthalmos or in patients with renal failure in whom uveal effusion occurs repeatedly.

Publication types

  • Case Reports

MeSH terms

  • Administration, Topical
  • Adolescent
  • Antibiotics, Antineoplastic / administration & dosage*
  • Choroid / blood supply*
  • Exudates and Transudates
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Microphthalmos / complications*
  • Mitomycin / administration & dosage*
  • Renal Insufficiency / complications*
  • Sclera / pathology
  • Sclera / surgery*
  • Surgical Flaps
  • Syndrome
  • Uveal Diseases / diagnosis
  • Uveal Diseases / etiology
  • Uveal Diseases / surgery*

Substances

  • Antibiotics, Antineoplastic
  • Mitomycin