Elsevier

Survey of Ophthalmology

Volume 27, Issue 5, March–April 1983, Pages 281-289
Survey of Ophthalmology

Review
Ciliochoroidal detachment

https://doi.org/10.1016/0039-6257(83)90228-XGet rights and content

Abstract

Ciliochoroidal detachments occur under a variety of pathological circumstances and are most commonly noted following intraocular surgery where hypotony is combined with postoperative inflammation. Although the condition is easily recognized, the pathophysiologic mechanisms involved are not well understood. In this review, the pathophysiologic mechanisms are summarized, with special emphasis on fluid dynamics within the suprachoroidal space. The clinical features, etiology and treatment of ciliochoroidal detachments are also reviewed.

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      Our patient was found to have a similar clinical presentation, and more so in the eye that developed marked ciliochoroidal detachments. Choroidal venous congestion and increased ciliary venous pressure have been considered as risk factors for the development of uveal effusion, and it is possible that dilated episcleral veins are a herald for this and should be specifically looked for and commented on prior to performing LPI.13,14 Ciliochoroidal detachments have been described following other commonly performed ocular laser procedures, namely panretinal photocoagulation (PRP).

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    This work was supported in part by USPHS grant EY-03277 from the National Eye Institute, National Institutes of Health, Bethesda, Maryland (Dr. Pederson) and grant EY-00634 (Dr. Brubaker).

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