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NR 7-9/2005
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Odłączenie
naczyniówki – patogeneza, przyczyny i obraz kliniczny
Choroidal detachment –
pathogenesis, etiology and clinical features
Iwona Obuchowska, Zofia Mariak
Z Kliniki Okulistyki Akademii Medycznej w Białymstoku
Kierownik: dr hab. n. med. Zofia Mariak |
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| Summary: |
Serous choroidal
detachment is characterized by exudative detachment of
the retina and choroid following leakage of fluid from
the choriocapillaris into suprachoroidal space. This
accumulation of fluid has been known to be a
complication of various intraocular surgeries (cataract,
glaucoma and retinal detachment surgery), where hypotony
is combined with postoperative inflammation. Among other
non surgical conditions associated with uveal effusion
are idiopathic (uveal effusion syndrome, microphthalmia)
and inflammatory diseases (scleritis, sympathic
ophthalmia, pars planitis, Harada’s disease). Idiopathic
serous detachment of choroids is caused by scleral
abnormalities associated with hypoplasia or partial
absence of the vortex venous system.
The most cases of postoperative choroidal detachment
resolve spontaneously. Resolution is usually associated
with rapid normalization of the intraocular pressure and
reduction of intraocular inflammation. The natural
course of idiopathic condition is variable but tends to
be prolonged with remissions and exacerbations. Surgical
management involving vortex vein decompression and/or
sclerotomy is the most effective treatment in this
patients. |
| Słowa kluczowe: |
odłączenie naczyniówki,
operacje wewnątrzgałkowe, hipotonia, zespół
wysiękowo-naczyniówkowy. |
| Key words: |
choroidal detachment,
intraocular surgery, hypotony, uveal effusion syndrome. |
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