Ihab Saad Othman (Giza, Egypt)


Idiopathic ciliochoroidal effusion is a specific pathological entity with abnormal thickened sclera resulting in total exudative retinal detachment.


4 cases of idiopathic ciliochoroidal effusion presented with total exudative retinal detachment. Modified vortex vein decompression was performed in 2 quadrants by creating a 90% scleral window around the vortex veins and drainage of subretinal fluid.

Effectiveness / Safety:

Flattening of the retina was achieved in all cases with a mean period of 1 month (range 2 weeks to 3 months). There were no ocular complications over 5 years follow up. All patients showed improvement of visual acuity to more than 6/36 vision.

Take home message:

Modified vortex vein decompression results in successful flattening of the retina in total exudative retinal detachment.