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Transactions of the American Ophthalmological Society logoLink to Transactions of the American Ophthalmological Society
. 1981;79:664–683.

Rhematogenous retinal detachment complicated by severe intraocular inflammation, hypotony, and choroidal detachment.

W H Jarrett 2nd
PMCID: PMC1312200  PMID: 7043870

Abstract

An unusual type of rhegmatogenous retinal detachment is described and compared with a control group of patients with detached retina. Features of the condition, in addition to retinal detachment, include severe anterior and posterior uveitis, choroidal detachment, hypotony, deepened anterior chamber, posterior synechiae, iridophakodonesis, and a poor surgical and visual prognosis due to massive periretinal proliferation. The disease occurs in a disproportionately high ratio in blacks. These cases may be mistaken for uveitis, Harada's syndrome, the uveal effusion syndrome, dislocated lens, or malignant melanoma. It is postulated that the detached retina initiates a series of exaggerated pathophysiological changes in the eye, with the severe inflammation leading to choroidal detachment and hypotony. Such eyes are inoperable until the inflammation, hypotony, and choroidal detachment are reversed with corticosteroid treatment. The surgical and visual prognosis is very poor.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BRAV S. S. Serous choroidal detachment. Surv Ophthalmol. 1961 Oct;6:395–415. [PubMed] [Google Scholar]
  2. CAPPER S. A., LEOPOLD I. H. Mechanism of serous choroidal detachment; a review and experimental study. AMA Arch Ophthalmol. 1956 Jan;55(1):101–113. doi: 10.1001/archopht.1956.00930030103014. [DOI] [PubMed] [Google Scholar]
  3. CHANDLER P. A., MAUMENEE A. E. A major cause of hypotony. Am J Ophthalmol. 1961 Nov;52:609–618. doi: 10.1016/0002-9394(61)90145-3. [DOI] [PubMed] [Google Scholar]
  4. DOBBIE J. G. A study of the intraocular fluid dynamics in retinal detachment. Arch Ophthalmol. 1963 Feb;69:159–164. doi: 10.1001/archopht.1963.00960040165005. [DOI] [PubMed] [Google Scholar]
  5. GRAHAM P. A. Unusual evolution of retinal detachments. Trans Opthal Soc U K. 1958;78:359–371. [PubMed] [Google Scholar]
  6. Gottlieb F. Combined choroidal and retinal detachment. Arch Ophthalmol. 1972 Nov;88(5):481–486. doi: 10.1001/archopht.1972.01000030483003. [DOI] [PubMed] [Google Scholar]
  7. Hagler W. S., Jarret W. H., Chang M. Rhegmatogenous retinal detachment following chorioretinal inflammatory disease. Am J Ophthalmol. 1978 Sep;86(3):373–379. doi: 10.1016/0002-9394(78)90242-8. [DOI] [PubMed] [Google Scholar]
  8. Hagler W. S., Jarrett J. H., 2nd, Humphrey W. T. The radioactive phosphorus uptake test in diagnosis of uveal melanoma. Arch Ophthalmol. 1970 May;83(5):548–557. doi: 10.1001/archopht.1970.00990030548005. [DOI] [PubMed] [Google Scholar]
  9. Kaufman P. L., Podos S. M. Subretinal fluid butyrylcholinesterase. 1. Source of the enzyme and factors affecting its concentration in subretinal fluid from primary rhegmatogenous retinal detachments. Am J Ophthalmol. 1973 Apr;75(4):627–636. [PubMed] [Google Scholar]
  10. MCDONALD P. R., DELAPAZ V., Jr, SARIN L. K. NON-RHEGMATOGENOUS RETINAL SEPARATION ASSOCIATED WITH CHOROIDAL DETACHMENT. Trans Am Ophthalmol Soc. 1964;62:226–247. [PMC free article] [PubMed] [Google Scholar]
  11. Machemer R., Laqua H. Pigment epithelium proliferation in retinal detachment (massive periretinal proliferation). Am J Ophthalmol. 1975 Jul;80(1):1–23. doi: 10.1016/0002-9394(75)90862-4. [DOI] [PubMed] [Google Scholar]
  12. Regan C. D., Rousseau A. P. The intraocular dynamics of eyes with retinal detachment. Am J Ophthalmol. 1966 Apr;61(4):696–702. doi: 10.1016/0002-9394(66)91205-0. [DOI] [PubMed] [Google Scholar]
  13. Robertson D. M., Curtin V. T. Rheghatogenous retinal detachment and choroidal melanoma. Am J Ophthalmol. 1971 Aug;72(2):351–355. doi: 10.1016/0002-9394(71)91305-5. [DOI] [PubMed] [Google Scholar]
  14. Rosen E. Uveal effusions. Am J Ophthalmol. 1968 Apr;65(4):509–518. doi: 10.1016/0002-9394(68)93864-6. [DOI] [PubMed] [Google Scholar]
  15. SCHEPENS C. L., BROCKHURST R. J. UVEAL EFFUSION. 1. CLINICAL PICTURE. Arch Ophthalmol. 1963 Aug;70:189–201. doi: 10.1001/archopht.1963.00960050191010. [DOI] [PubMed] [Google Scholar]
  16. SEARS M. L. CHOROIDAL AND RETINAL DETACHMENTS ASSOCIATED WITH SCLERITIS. Am J Ophthalmol. 1964 Nov;58:764–766. [PubMed] [Google Scholar]
  17. SMITH J. L. RETINAL DETACHMENT AND GLAUCOMA. Trans Am Acad Ophthalmol Otolaryngol. 1963 Sep-Oct;67:726–732. [PubMed] [Google Scholar]
  18. SWAN K. C., CHRISTENSEN L., WEISEL J. T. Choroidal detachment in the surgical treatment of retinal separation. AMA Arch Ophthalmol. 1956 Feb;55(2):240–245. doi: 10.1001/archopht.1956.00930030244010. [DOI] [PubMed] [Google Scholar]
  19. Seelenfreund M. H., Kraushar M. F., Schepens C. L., Freilich D. B. Choroidal detachment associated with primary retinal detachment. Arch Ophthalmol. 1974 Apr;91(4):254–258. doi: 10.1001/archopht.1974.03900060264003. [DOI] [PubMed] [Google Scholar]

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