Scleral Windows for Nanophthalmic Uveal Effusion Syndrome

In this clinical video, Drs. Mohsin Ali and Glenn Jaffe manage a case of nanophthalmic uveal effusion syndrome in a 67-year-old male who had an axial length of 16.75mm. In all quadrants, the surgeons created 4-6 mm x 4-6 mm partial-thickness scleral flaps using a #64 blade and crescent blade, and made sclerotomies using a #64 blade and Kelly punch. The patient experienced a successful reduction in subretinal fluid after the procedure. His visual acuity was limited to counting fingers due to pre-existing macular scarring.   

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