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Choroidal Detachment

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Suprachoroidal Space Interventions

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Abstract

Choroidal detachment can be defined as the collection of fluid or blood between the choroid and sclera and as such, either serous or haemorrhagic in nature. They typically present with smooth lobes which are characteristically limited by the vortex veins. They can be furthermore associated with a myopic shift, secondary angle closure and a serous retinal detachment. Serous choroidal detachment can be further categorised into inflammatory, hydrostatic or idiopathic in origin. Inflammatory causes include both ocular and systemic inflammatory conditions, medications and panretinal photocoagulation. Hydrostatic causes are mainly associated with ocular hypotony or choroidal or scleral infiltrative processes such as lymphoma or amyloidosis. Idiopathic uveal effusion syndrome (UES) is thought to occur due to abnormal sclera and present with choroidal elevation, chronic submacular subretinal fluid and a characteristic leopard spot fundus. Management of choroidal detachment is often targeted towards the underlying cause, with possible surgical management including drainage in haemorrhagic choroidal detachment and scleral decompression windows in UES.

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Author information

Authors and Affiliations

  1. St Thomas’ Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    Neruban Kumaran & D. Alistair H. Laidlaw

  2. Maidstone Hospital, Maidstone and Tunbridge Wells NHS Trust, Maidstone, UK

    D. Alistair H. Laidlaw

  3. King’s College Medical School, London, UK

    D. Alistair H. Laidlaw

Authors
  1. Neruban Kumaran
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  2. D. Alistair H. Laidlaw
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Correspondence to Neruban Kumaran .

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Editors and Affiliations

  1. Tennent Institute of Ophthalmology, Glasgow, UK

    Shohista Saidkasimova

  2. Department of Ophthalmology, St. Thomas' Hospital, London, UK

    Thomas H. Williamson

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Kumaran, N., Laidlaw, D.A.H. (2021). Choroidal Detachment. In: Saidkasimova, S., Williamson, T.H. (eds) Suprachoroidal Space Interventions. Springer, Cham. https://doi.org/10.1007/978-3-030-76853-9_4

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  • DOI: https://doi.org/10.1007/978-3-030-76853-9_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-76852-2

  • Online ISBN: 978-3-030-76853-9

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