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Choroid -  CHOROIDAL DETACHMENT Lecture 5 of 18  NEXT»

Choroidal detachment can be differentiated from retinal detachment and tumor by its solid appearance, smooth surface, and appearance of normal retinal vessels with color unchanged and good transillumination.

*1. Acute ocular hypotony (see p. 325)

A. Myopia
B. Operative or perforating wounds, including those required for surgical treatment of cataract, glaucoma, grafting of cornea, and retinal detachment
C. Severe uveitis with severe visual loss, intense ocular pain, unusually low tension, and extremely deep anterior chamber in women
D. Yttrium-aluminum-garnet (YAG) laser cyclophotocoagulation

2. Inflammatory disease

A. Acute sinusitis
B. Chronic cyclitis
C. Harada disease (Vogt-Koyanagi-Harada syndrome)
D. Orbital abscess
E. Orbital pseudotumor
F. Scleritis and tenonitis
G. Sympathetic ophthalmia

3. Neoplastic disease

A. Intraocular tumor, such as metastatic or malignant melanoma
B. Leukemia
C. Orbital tumor

4. Spontaneous detachment associated with uveal effusion, such as nonrhegmatogenous retinal detachment, shifting subretinal fluid, and peripheral annular choroidal detachment affecting males almost exclusively
5. Trauma

A. Complication of scleral buckling retinal detachment surgery
B. Contusion of globe without perforation
C. Following perforation injury, including that because of perforating corneal  ulcer
D. Phthisical eye with traction of organized inflammatory tissue

6. Vascular disease

A. Diabetes mellitus (Willis disease)
B. Disseminated intravascular coagulation
C. Hypertension
D. Leukemia
E. Multiple myeloma (Kahler disease)
F. Nephritis
G. Oral acetazolamide
H. Periarteritis nodosa (Kussmaul disease)
I. Syphilitic vascular disease
J. Toxemia of pregnancy
Kurtz S, et al. Orbital pseudotumor presenting as acute glaucoma with choroidal and retinal detachment. German J Ophthalmol 1993; 2:61-62.

Lakhanpal V. Experimental and clinical observations on massive suprachoroidal hemorrhage. Trans Am Ophthalmol Soc 1993; 91:545-652.

Roy FH. Ocular syndromes and systemic diseases. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2002.

Extracted Table Choroidal detachment

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