Treatment of Nanophthalmos-Related Uveal Effusion with Two- vs. Four-Quadrant Partial-Thickness Sclerectomy and Sclerotomy Surgery

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dc.authoridHasanreisoglu, Murat/0000-0001-9885-5653
dc.authoridOZDEK, SENGUL/0000-0002-7494-4106
dc.authoridYalinbas, Duygu/0000-0001-9001-0277
dc.contributor.authorOzdek, Sengul
dc.contributor.authorYeter, Duygu Yalinbas
dc.contributor.authorOzmen, Mehmet Cuneyt
dc.contributor.authorHasanreisoglu, Murat
dc.date.accessioned2024-10-26T18:00:41Z
dc.date.available2024-10-26T18:00:41Z
dc.date.issued2022
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractObjectives: To report visual and anatomical outcomes following two-or four-quadrant partial-thickness sclerectomy and sclerotomy surgery to treat nanophthalmos (NO)-related uveal effusion (UE). Materials and Methods: Consecutive patients with NO-related UE were treated with four-quadrant or two-quadrant (for those with associated glaucoma) partial-thickness sclerectomy and sclerotomy surgery. Axial length, extent of UE, preoperative, postoperative, and final best corrected visual acuity (BCVA), time to retinal reattachment, and rates of retinal reattachment and recurrence were noted. Results: Fourteen eyes of 10 patients with NO-related UE were operated. Retinal detachment (RD) involved mainly the peripheral retina in 7 (50%) eyes, macula in 2 eyes (14.2%), both macula and peripheral retina in 4 eyes (28.6%), and the whole retina in 1 eye. Eleven eyes had four-quadrant surgery, and 3 eyes with associated glaucoma had two-quadrant surgery. External subretinal drainage was performed in one patient who had total RD. The mean preoperative logMAR BCVA of 1.50 +/- 0.53 increased significantly to 0.92 +/- 0.49 after surgery (p=0.002). Resolution of RD could be achieved with two-quadrant surgery in only 1 of 3 eyes. In the other 2 eyes, retinal reattachment was achieved after a secondary surgery for the remaining two quadrants to complete four-quadrant sclerectomy. Final outcome was total reattachment of the retina in 11 eyes (78.6%), partial reattachment in 1 eye (7.1%), and recurrence of macular detachment in 2 (14.3%) eyes. Conclusion: Quadrantic partial-thickness sclerectomy and sclerotomy surgery seems effective for treating UE in eyes with NO. Two quadrant surgery may be tried for mild UE associated with glaucoma to preserve the superior quadrants for future possible glaucoma surgeries, but secondary surgery for the superior quadrants may be needed. External drainage of subretinal fluid may be an option in severe cases to achieve quicker resolution.
dc.identifier.doi10.4274/tjo.galenos.2021.33723
dc.identifier.endpage44
dc.identifier.issn1300-0659
dc.identifier.issn2147-2661
dc.identifier.issue1
dc.identifier.pmid35196838
dc.identifier.scopus2-s2.0-85125156540
dc.identifier.scopusqualityN/A
dc.identifier.startpage37
dc.identifier.trdizinid1171975
dc.identifier.urihttps://doi.org/10.4274/tjo.galenos.2021.33723
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1171975
dc.identifier.urihttps://hdl.handle.net/20.500.12418/27800
dc.identifier.volume52
dc.identifier.wosWOS:000761159800007
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Ophthalmological Soc
dc.relation.ispartofTurk Oftalmoloji Dergisi-Turkish Journal of Ophthalmology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectNanophthalmos
dc.subjectpartial sclerectomy
dc.subjectsclerotomy
dc.subjectuveal effusion
dc.subjectexudative retinal detachment
dc.titleTreatment of Nanophthalmos-Related Uveal Effusion with Two- vs. Four-Quadrant Partial-Thickness Sclerectomy and Sclerotomy Surgery
dc.typeArticle

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