eMedicine Specialties > Ophthalmology > Choroid

Choroidal Detachment: Differential Diagnoses & Workup

Author: Carlo E Traverso, MD, Associate Professor, University Eye Clinic, Genova; Consulting Staff and Head of Glaucoma and Cornea Clinical Unit, University of Genova Medical School, Italy
Contributor Information and Disclosures

Updated: Sep 11, 2007

Differential Diagnoses

Glaucoma, Malignant
Retinal Detachment, Postoperative
Melanoma, Choroidal
Retinal Detachment, Tractional
Pupillary Block, Aphakic
Pupillary Block, Pseudophakic
Retinal Detachment, Exudative

Other Problems to Be Considered

Aqueous misdirection (No choroidal detachment is present.)
Pupillary block (No choroidal detachment is present.)

Workup

Imaging Studies

  • B-scan ultrasonography can aid in differentiating between serum and blood collected under or within the choroid (see Media file 2).

More on Choroidal Detachment

Overview: Choroidal Detachment
Differential Diagnoses & Workup: Choroidal Detachment
Treatment & Medication: Choroidal Detachment
Follow-up: Choroidal Detachment
Multimedia: Choroidal Detachment
References

References

  1. Abrams GW, Thomas MA, Williams GA, Burton TC. Management of postoperative suprachoroidal hemorrhage with continuous-infusion air pump. Arch Ophthalmol. Oct 1986;104(10):1455-8. [Medline].

  2. Bellows AR, Chylack LT Jr, Epstein DL, Hutchinson BT. Choroidal effusion during glaucoma surgery in patients with prominent episcleral vessels. Arch Ophthalmol. Mar 1979;97(3):493-7. [Medline].

  3. Berke SJ, Bellows AR, Shingleton BJ, Richter CU, Hutchinson BT. Chronic and recurrent choroidal detachment after glaucoma filtering surgery. Ophthalmology. Feb 1987;94(2):154-62. [Medline].

  4. Brubaker RF, Pederson JE. Ciliochoroidal detachment. Surv Ophthalmol. Mar-Apr 1983;27(5):281-9. [Medline].

  5. Chu TG, Cano MR, Green RL, Liggett PE, Lean JS. Massive suprachoroidal hemorrhage with central retinal apposition. A clinical and echographic study. Arch Ophthalmol. Nov 1991;109(11):1575-81. [Medline].

  6. Costa VP, Smith M, Spaeth GL, Gandham S, Markovitz B. Loss of visual acuity after trabeculectomy. Ophthalmology. May 1993;100(5):599-612. [Medline].

  7. Davani S, Delbosc B, Royer B, Kantelip JP. Choroidal detachment induced by dorzolamide 20 years after cataract surgery. Br J Ophthalmol. Dec 2002;86(12):1457-8. [Medline].

  8. Goldberg S, Gallily R, Bishara S, Blumenthal EZ. Dorzolamide-induced choroidal detachment in a surgically untreated eye. Am J Ophthalmol. Aug 2004;138(2):285-6. [Medline].

  9. Horgan N, Kirwan RP, O'Brien CJ. Choroidal detachment associated with latanoprost use in the fellow eye. Ann Pharmacother. Jan 2007;41(1):161-2. [Medline].

  10. Katz LJ. Ciliochoroidal detachment. Ophthalmic Surg. Mar 1987;18(3):175. [Medline].

  11. Maumenee AE, Stark WJ. Management of persistent hypotony after planned or inadvertent cyclodialysis. Am J Ophthalmol. Jan 1971;71(1 Part 2):320-7. [Medline].

  12. Shapiro BL, Petrovic V, Lee SE, Flach A, McCaffery S, O'Brien JM. Choroidal detachment following the use of tamsulosin (Flomax). Am J Ophthalmol. Feb 2007;143(2):351-3. [Medline].

  13. Sharma T, Gopal L, Reddy RK, Kasinathan N, Shah NA, Sulochana KN, et al. Primary vitrectomy for combined rhegmatogenous retinal detachment and choroidal detachment with or without oral corticosteroids: a pilot study. Retina. Feb-Mar 2005;25(2):152-7. [Medline].

  14. Sharma T, Salmon JF. Hypotony and choroidal detachment as a complication of topical combined timolol and dorzolamide. J Ocul Pharmacol Ther. Apr 2007;23(2):202-5. [Medline].

  15. Singh R, Umapathy T, Abedin A, Eatamadi H, Maharajan S, Dua HS. Choroidal detachment in perforated corneal ulcers: frequency and management. Br J Ophthalmol. Sep 2006;90(9):1111-4. [Medline].

  16. Sodhi PK, Sachdev MS, Gupta A, Verma LK, Ratan SK. Choroidal detachment with topical latanoprost after glaucoma filtration surgery. Ann Pharmacother. Mar 2004;38(3):510-1. [Medline].

  17. Speaker MG, Guerriero PN, Met JA, Coad CT, Berger A, Marmor M. A case-control study of risk factors for intraoperative suprachoroidal expulsive hemorrhage. Ophthalmology. Feb 1991;98(2):202-9; discussion 210. [Medline].

  18. Stalmans I, Gillis A, Lafaut AS, Zeyen T. Safe trabeculectomy technique: long term outcome. Br J Ophthalmol. Jan 2006;90(1):44-7. [Medline].

  19. Verma L, Venkatesh P, Chawla R, Tewari HK. Choroidal detachment following retinal detachment surgery: an analysis and a new hypothesis to minimize its occurrence in high-risk cases. Eur J Ophthalmol. Jul-Aug 2004;14(4):325-9. [Medline].

  20. Yalvac IS, Satana B, Ozkan G, Eksioglu U, Duman S. Management of glaucoma in patients with nanophthalmos. Eye. Feb 9 2007;[Medline].

Further Reading

Keywords

serous choroidal detachment, choroidals, choroidal effusion, delayed suprachoroidal hemorrhage, nonexpulsive suprachoroidal hemorrhage, hemorrhagic choroidal detachment, expulsive hemorrhage, intraoperative choroidal detachment/hemorrhage, choroidal vascular plexus

Contributor Information and Disclosures

Author

Carlo E Traverso, MD, Associate Professor, University Eye Clinic, Genova; Consulting Staff and Head of Glaucoma and Cornea Clinical Unit, University of Genova Medical School, Italy
Carlo E Traverso, MD is a member of the following medical societies: American Academy of Ophthalmology, Association for Research in Vision and Ophthalmology, and European Glaucoma Society
Disclosure: Nothing to disclose.

Medical Editor

Richard W Allinson, MD, Associate Professor, Division of Ophthalmology, Texas A&M University Health Science Center, Associate Professor, Department of Surgery, Scott and White Clinic
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Steve Charles, MD, Director of Charles Retina Institute; Clinical Professor, Department of Ophthalmology, University of Tennessee College of Medicine
Steve Charles, MD is a member of the following medical societies: American Academy of Ophthalmology, American Society of Retina Specialists, Macula Society, and Retina Society
Disclosure: Alcon Laboratories Consulting fee Consulting

CME Editor

Lance L Brown, OD, MD, Ophthalmologist, Affiliated With Freeman Hospital and St John's Hospital, Regional Eye Center, Joplin, Missouri
Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD, Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences
Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology
Disclosure: Nothing to disclose.

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