This 75YO male developed a large choroidal detachment 2 months following a complex vitrectomy for an intraocular lens exchange. There was no wound leak, and the intraocular pressure was 5.
He returned one month later with a spontaneously improving choroidal detachment.
Learning Points:
Choroidal detachment is relatively common after surgery with hypotony. Two mechanisms are believed to be at play: hypotony allows fluid to accumulate in the suprachoroidal space, and inflammation increases the choroidal permeability.
The detached ciliary body may also produce less aqueous humor, thus creating a self-perpetuating cycle.
