Clinical Evaluation of Choroidal Detachment Associated with Rhegmatogenous Retinal Detachment.

Kang, Se Woong; Choi, Mi Young

Original Article

Journal of the Korean Ophthalmological Society 1995;36(12):2172-2180.
Published online December 1, 1995.

Clinical Evaluation of Choroidal Detachment Associated with Rhegmatogenous Retinal Detachment.

Se Woong Kang, Mi Young Choi

Department of Ophthalmology, College of Medicine, Chungbuk National University, Cheongju, Korea.

맥락막박리가 합병된 열공망막박리의 임상적 고찰

강세웅(Se Woong Kang),최미영(Mi Young Choi)

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.

Key Words: Choroidal detachment;Hypotony;Proliferative vitreoretinopathy;Rhegmatogenous retinal detachment