Frontiers in medicine · 2026
CO2 laser-assisted sclerectomy with sclerostomy for uveal effusion syndrome.
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Luo Mingyue, Chen Ying, Sun Lu, Chen Youxin, Zhang Meifen, Chen Huan, Dai Rongping
Аннотация
BACKGROUND: Surgical treatment of idiopathic uveal effusion syndrome (UES) is challenging with high risks. CO2 laser-assisted sclerectomy surgery (CLASS) is potentially a semiquantitative, quick and safe surgical option. This study aimed to describe the feasibility and early outcomes of CO2 laser-assisted sclerectomy surgery (CLASS) with sclerostomy for idiopathic uveal effusion syndrome (UES).
METHODS: This was a prospective descriptive case series. After fully exposed, the sclera was ablated with CO2 laser beam repeatedly until a bluish hue was visible. A crescent blade was used to make scleral incision in the same plane with the floor of the scleral pool. The lamellar sclera was cut, and the scleral pool was enlarged. A 1 × 1 mm2 sclerostomy was created in each sclerectomy bed with a 15 degree stab blade.
RESULTS: The technique was used in three eyes of three patients with UES and exudative retinal detachment (RD). After a mean follow-up of 410 days (range, 34-825 days), all patients demonstrated sustained improvement of RD, with complete resolution in two cases. No adverse events were observed during the extended follow-up period.
CONCLUSION: CLASS with sclerostomy appears to be a feasible and durable technique for UES in this small series, though further studies are warranted.
METHODS: This was a prospective descriptive case series. After fully exposed, the sclera was ablated with CO2 laser beam repeatedly until a bluish hue was visible. A crescent blade was used to make scleral incision in the same plane with the floor of the scleral pool. The lamellar sclera was cut, and the scleral pool was enlarged. A 1 × 1 mm2 sclerostomy was created in each sclerectomy bed with a 15 degree stab blade.
RESULTS: The technique was used in three eyes of three patients with UES and exudative retinal detachment (RD). After a mean follow-up of 410 days (range, 34-825 days), all patients demonstrated sustained improvement of RD, with complete resolution in two cases. No adverse events were observed during the extended follow-up period.
CONCLUSION: CLASS with sclerostomy appears to be a feasible and durable technique for UES in this small series, though further studies are warranted.