Clinical Evaluation of Choroidal Detachment Associated with Rhegmatogenous Retinal Detachment.
- Author:
Se Woong KANG
1
;
Mi Young CHOI
Author Information
1. Department of Ophthalmology, College of Medicine, Chungbuk National University, Cheongju, Korea.
- Publication Type:Original Article
- Keywords:
Choroidal detachment;
Hypotony;
Proliferative vitreoretinopathy;
Rhegmatogenous retinal detachment
- MeSH:
Aged;
Anterior Chamber;
Choroid*;
Early Diagnosis;
Follow-Up Studies;
Humans;
Inflammation;
Ophthalmoscopy;
Prognosis;
Retina;
Retinal Detachment*;
Retinaldehyde*;
Visual Acuity;
Vitrectomy;
Vitreoretinopathy, Proliferative
- From:Journal of the Korean Ophthalmological Society
1995;36(12):2172-2180
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Choroidal detachment after retinal detachment surgery is relatively common but preoperative choroidal detachment is very rare. We reviewed three cases of choroidal detachment associated with primary rhegmatogenous retinal detachment to see whether there were common features that may be of help in early diagnosis and treatment. The patients were elderly and presented with markedly decreased vision, profound hypotony and inflammatory cells in anterior chamber. Indirect ophthalmoscopy revealed rhegmatogenous retinal detachment with choroidal detachment and proliferative vitreoretinopathy. They were treated with preoperative and postoperative steroid and undergone surgery including vitrectomy. The follow-up periods were 8, 6 and 2 months respectively. Choroidal detachment disappeared, successful reattachment of retina was achieved and corrected visual acuity was improved in all cases. Choroidal detachment associated with rhegmatogenous retinal detachment seems to be associated with hypotony, intraocular inflammation and unstable vascular system. Careful assessment and proper management including surgical procedure seem to improve its prognosis.
