UVEAL EFFUSION SYNDROME

The history and clinical findings are presented of a patient who suffe red from the uveal effusion syndrome over a 10-year period from 1956. The funduscopic appearance is illustrated both at the time of initial presentation and 36 years later. This condition typically affects heal thy middle-aged men and causes recurrent, spontaneous, serous retinal and ciliochoroidal detachments, often resulting in significant visual impairment. Two separate hypotheses have been postulated to explain th e pathogenesis of the uveal effusion syndrome, one relating to abnorma lly thickened sclera, the other to chronic bulbar hypotony. Both are d iscussed, as is the rationale behind the current management of this un usual condition.