This 66YO female presented for her postoperative exam following an uneventful pars plana vitrectomy one day earlier for a diabetic traction retinal detachment.
Optos RG imaging shows 360 degrees of peripheral choroidal detachments with a 30% air bubble. Fresh panretinal photocoagulation burns are noted, and the retina is attached. All wounds were secure, and the intraocular pressure was 20mmHG.
We are not sure why our patient presented with these choroidals 1 day postoperatively, since her pressure was normal and there were no wound leaks.
Uveal effusion is a rare transient complication following heavy panretinal photocoagulation (Gentile et al, Ophthalmology 1996;103:827-832), although our patient’s endolaser did not appear overly intense.
When examined one week later, vision was 20/400, and the IOP was 17. The choroidals had spontaneously and completely resolved.
