How is choroidal detachment different from retinal detachment?
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Choroidal detachments are generally treated with topical medications, such as eye drops, that help reduce inflammation and dilate the pupil. Small postoperative choroidal detachments often heal on their own a few days after surgery.
What is a choroidal detachment?
Choroidal detachments occur when there is an accumulation of fluid or blood in the suprachoroidal space, a potential space situated between the choroid and the sclera. They are an uncommon ocular pathology.
How do you drain a choroidal detachment?
Consider inserting a cyclodialysis spatula into the suprachoroidal space to keep the cut-down open for egress of the hemorrhage and to clear clots that obstruct flow. Focal pressure applied to the anterior lip of the wound and/or ocular massage can help maximize drainage.
What happens if the choroid is damaged?
Degeneration of the blood vessels of the choroid is followed by damage to the retina, which usually leads to loss of peripheral vision that can progress to eventual blindness.
What causes choroidal effusion?
The primary cause of choroidal effusion and hemorrhage is low IOP, although inflammation can sometimes play a role. Other risk factors include anticoagulation, aphakia, high myopia, prior ocular surgery, hypotony, straining, hypertension, and heart and respiratory disease.
What is disorder of choroid of eye?
Choroidal dystrophy is an eye disorder that involves a layer of blood vessels called the choroid. These vessels are between the sclera and retina. In most cases, choroidal dystrophy is due to an abnormal gene, which is passed down through families. It most often affects males, starting in childhood.
What happens when the vitreous separates from the retina?
When your vitreous detaches, strands of the vitreous often cast new shadows on your retina — and those shadows appear as floaters. You may also notice flashes of light in your side (peripheral) vision. Sometimes, vitreous detachment causes more serious eye problems that need treatment right away.
When do you drain Choroidals?
For new choroidal hemorrhages, it is best to operate within 10 to 14 days. When possible, correct any anticoagulation issues as you plan for surgery. I find it helpful to follow these cases serially with echography to assess vitreous lique- faction, extension of the choroidal, and retinal involvement.
What is Suprachoroidal hemorrhage?
Suprachoroidal hemorrhage (SCH) is a rare, but potentially vision threatening pathology that may manifest as a consequence of intraocular surgery. It occurs when blood from the long or short ciliary arteries fills within the space between the choroid and the sclera.
Can choroidal rupture heal?
We report a case of choroidal rupture healed with proliferative tissue protruding through the sensory retina into the vitreous cavity.
What are the different types of retinal detachment?
Rhegmatogenous Retinal Detachment. A rhegmatogenous retinal detachment is the most common type.
What you should know about choroidal detachments?
Myopia
Can a retinal detachment heal on its own?
Can a detached retina heal on its own? In some cases, retinal detachment is minor enough that it will heal on its own, in other cases, surgery, laser therapy, or other treatments will be required as well as professional observation to assure that healing is properly progressing.
Which conditions are associated with retinal detachment?
Rhegmatogenous retinal detachment. If you have a rhegmatogenous retinal detachment,you have a tear or hole in your retina.