Fig. 25.1
Choroidal detachment
atropine 1 per cent three times daily and prednisolone acetate 1 per cent four times daily. If the IOP is high, such as in hemorrhagic choroidal detachments, then a restricted range of anti-glaucoma medications can be used, avoiding the parasympathomimetics (miotics) and the proinflammatory prostaglandin analogues or similar drugs. Possible examples are the p blockers, a agonists or carbonic anhydrase inhibitors.
Incisional surgery Surgical drainage of the suprachoroidal fluid may be indicated if
the anterior chamber is flat or there is risk of lens-cornea contact or there is anterior chamber inflammation, creating risk of peripheral anterior synechiae, in the presence of ‘kissing choroidals’, with hemorrhagic disease, or if the condition fails to resolve after treatment of the underlying condition.
Review If an underlying condition can be identified and treated, the choroidal detachment may be simply monitored for resolution over the next week or so.