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JAMA Ophthalmology Clinical Challenge
September 2014

Intractable Choroidal Effusion With Exudative Retinal Detachment in Sturge-Weber Syndrome

Author Affiliations
  • 1Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India
JAMA Ophthalmol. 2014;132(9):1143-1144. doi:10.1001/jamaophthalmol.2014.2464

A 5-year-old boy with Sturge-Weber syndrome (SWS) and glaucoma receiving treatment since infancy elsewhere presented with raised intraocular pressure (IOP) in the right eye. He had undergone trabeculectomy in the right eye with mitomycin C 4 years earlier. On examination, his best-corrected visual acuity was 6/60 (−2.5 diopters sphere/0.5 diopters cylinder × 90) and 6/6 (0.5 diopters sphere) OD and OS, respectively. His IOP was 36 mm Hg and 12 mm Hg OD and OS, respectively, while receiving the maximum-tolerated antiglaucoma medications. Fundus examination was normal (Figure 1A and B), and B-scan ultrasonography revealed no mass lesion in the right eye. The left eye was normal.