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Choroidal detachments: what do optometrists need to know?

Martin Q Diep1, Michele C Madigan1,2

  • 1School of Optometry and Vision Science, The University of New South Wales, Kensington, New South Wales, Australia.

Clinical & Experimental Optometry
|July 5, 2018
PubMed
Summary

Choroidal detachments, fluid or blood in the suprachoroidal space, are uncommon. Prompt optometric detection and referral are crucial for managing this ocular pathology and ensuring optimal visual outcomes.

Keywords:
choroidal detachmentchoroidal effusionoptical coherence tomographytrabeculectomyuveal effusion

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Area of Science:

  • Ophthalmology
  • Optometry

Background:

  • Choroidal detachments involve fluid or blood accumulation in the suprachoroidal space between the choroid and sclera.
  • This uncommon ocular pathology is most frequently secondary to trabeculectomy but can also result from trauma or inflammation.

Purpose of the Study:

  • To review the pathophysiology, detection, risk factors, and management of choroidal detachments.
  • To provide evidence-based management recommendations for optometrists.
  • To discuss uveal effusion syndrome and its relation to idiopathic exudative choroidal detachments.

Main Methods:

  • Literature review of choroidal detachments and uveal effusion syndrome.
  • Analysis of clinical presentations, diagnostic findings, and management strategies.
  • Focus on optometric context and primary eye care provider roles.

Main Results:

  • Choroidal detachments present with varied symptoms, from asymptomatic to severe pain and vision loss.
  • Associated ocular findings include serous retinal detachment, secondary angle closure, and shallow anterior chamber.
  • Uveal effusion syndrome can cause idiopathic exudative choroidal detachments.

Conclusions:

  • Optometrists must recognize choroidal detachment signs and symptoms for timely referral and management.
  • Appropriate and prompt intervention is essential for achieving optimal visual outcomes.
  • Understanding uveal effusion syndrome aids in diagnosing distinct forms of exudative choroidal detachments.