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Two Patients with Atypical Choroidal Detachment.

Joseph W Fong¹, Heather V Broyles¹, Nour Y Atassi¹

¹Department of Ophthalmology, Jones Eye Institute, University of Arkansas for Medical Sciences (UAMS), Little Rock, Arkansas, USA.

Case Reports in Ophthalmology

|May 31, 2021

Summary

Serous choroidal detachments can mask underlying rhegmatogenous retinal detachments (RRD). Prompt diagnosis of RRD is crucial for preserving vision, even without visible retinal breaks.

Keywords:

Choroidal detachment Rhegmatogenous retinal detachment with choroidal detachment Serous choroidal detachment

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Published on: September 11, 2013

Area of Science:

Ophthalmology
Retinal Diseases
Choroidal Diseases

Background:

Serous choroidal detachment (SCD) associated with rhegmatogenous retinal detachment (RRD) poses diagnostic challenges.
Delayed RRD recognition and repair can lead to poor visual outcomes.

Observation:

Two patients presented with atypical SCDs and vision loss.
Initial examinations revealed SCDs and retinal detachment, but no clear retinal breaks.
Laboratory workups and orbital imaging were inconclusive.

Findings:

Both patients were initially treated for presumed inflammatory conditions with corticosteroids.
Corticosteroid treatment led to SCD resolution but not retinal detachment resolution.
Subsequent evaluation confirmed underlying RRD in both cases, despite the absence of identifiable retinal breaks.

Implications:

The diagnostic possibility of RRD should be considered in cases of unexplained SCD, even without visible retinal breaks.
This highlights the importance of thorough retinal evaluation and considering RRD in the differential diagnosis of SCD.
Early detection and surgical repair of RRD are critical for optimal visual recovery.