Idiopathic choroidal effusion syndrome: A case report

Résumé

Uveal effusion corresponds to the accumulation of fluid in the supra choroidal space which is a virtual cavity located between the sclera and the choroid.

Idiopathic uveal effusion syndrome is a rare, chronic condition, most commonly in males. Its etiologies are multiple and not always diagnosed, it could rarely be linked to an overload disease (a form of muccopolysaccharidosis). The anterior segment often has no features apart from dilated episcleral vessels. The eyes are often emmetropic, the intraocular pressure is variable. Examination of the posterior segment reveals the characteristic gray choroidal detachment bubbles. Its treatment is based on systemic corticosteroid therapy and cycloplegia. The evolution is often favorable. We report the case of a 67-year-old female patient with idiopathic uveal effusion syndrome revealed by acute ocular hypertonic crisis.