Programm                 "Degeneration und Regeneration– Grundlagen, Diagnostik und Therapie"


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Abstract
Abstract

Uveal Effusion Syndrome Managed with Therapeutic Apheresis

Ayertey H. D.1, Farvili E.1, Jordan J. F.1, Borberg H.2, Kirchhof B.1,  Brunner R.1
1
University Eye Hospital, 2Clinic I for Internal Medicine, University of Cologne 

Purpose: This report describes the management of choroidal and retinal detachment due to uveal effusion syndrome with therapeutic apheresis.
Method: A 43-year-old patient with idiopathic uveal effusion syndrome and total choroidal and retinal detachment in the left eye underwent repetitive therapeutic apheresis.
Results: The patient presented with progressive loss of visual acuity on the left eye from 20/50 to hand movement due to a high choroidal effusion with contact to the posterior part of the lens. After 2 month without improvement repetitive therapeutic apheresis were performed. After the first treatments an improvement of the situation with reduction of the amplitude of the uveal effusion was seen. Nine months after commencing repetitive therapeutic apheresis choroida and retina reattached partially at the posterior pole. This led to an increase of visual acuity from hand movement to 1/25. At his stage a computer perimetry could be performed for the first time and showed a mean defect of –23.4. Under further repetitive therapeutic apheresis choroidea and retina attached completely and visual acuity improved to 20/50. Furthermore, the mean defects of the visual fields increased to –11.1.
Conclusions: Therapeutic


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