Choroidal detachment following operation for detached retina.

Case Report A married female aged 51 noticed flickering spots in front of the right eye, succeeded by a shadow in the lower and outer field of vision. She was first examined on March 21, 1953, 5 weeks after the onset and a shallow retinal detachment was noted in the upper nasal quadrant. She was emmetropic with 6/6 vision in each eye. Repeated examination revealed no hole and a period of rest in bed did not influence the appearance. At operation the area of the detachment was covered with diathermy punctures spaced at intervals of about 3 mm. extending back 14 mm. in the shape of a semi-circle from the ora serrata. There was quite free drainage of sub-retinal fluid and the retina appeared flat. Air was not injected into the vitreous and the eye was soft at the end of the operation. The convalescence was uneventful, but, when detailed examination was made 7 days later, two small choroidal detachments were noted, one in the supernasal quadrant and the other in the supertemporal quadrant, separated by a definite interval. It was not. likely that these were due to actual hemorrhage at the time of operation as the supernasal one was not over the site of the detachment. The anterior chamber remained of normal depth the whole time and it was not until 8 weeks after that the retina was seen to be in position where it has remained ever since.