Decreased vision or asymptomatic in a serous choroidal detachment. Decreased vision may occur if the choroidal detachments extend posteriorly with a shadow or involve the macula. Moderate-to-severe pain and red eye may also occur with a hemorrhagic choroidal detachment.
(See Figure 11.27.1.)
Critical
Smooth, bullous, orange-brown elevation of the retina and choroid that usually extends 360 degrees around the periphery in a lobular configuration. The ora serrata can be seen without scleral depression.
Other
Serous choroidal detachment: Low IOP (often <6 mm Hg), shallow anterior chamber with mild cell and flare, positive transillumination.
Hemorrhagic choroidal detachment: High IOP (if detachment is large), shallow anterior chamber with mild cell and flare, no transillumination.
Serous
Hemorrhagic
General Treatment
Specific Treatment: Repair the Underlying Problem