Serous retinal detachment

Klepach GL, Wray SH. Bilateral serous retinal detachment with thrombocytopenia during penicillamine therapy. Ann Ophthalmol 1981 13(2) 201-3. 

Robertson DM. Photodynamic therapy for choroidal hemangioma associated with serous retinal detachment. Arch Ophthalmol 2002 120 1155-1161. 

Eyes HCTZ may be associated with peripheral serous pigment epithelial detachment (SPED) and serous retinal detachment (SRD) as part of a sulpha-induced ciliochoroidal effusion s5mdrome (CCES) [26]. 

HCTZ = hydrochlorothiazide, ACG = angle-closure glaucoma, AGEP = acute generalised exanthematous pustulosis, SPED=serous pigment epithelial detachment, SRD = serous retinal detachment. 

Systemic glucocorticoid treatment can cause severe exacerbation of bullous exudative retinal detachment and lasting visual loss in some patients with idiopathic central serous chorioretinopathy (SEDA-20, 374 68). The atypical presentation of this condition can include peripheral retinal capillary nonperfusion and retinal neovascularization. The treatment of choice in patients with idiopathic central serous chorioretinopathy is laser photocoagulation. 

Gass JD, Little H. Bilateral bullous exudative retinal detachment complicating idiopathic central serous chorioretinopathy during systemic corticosteroid therapy. Ophthalmology 1995 102(5) 737 I7. 

Sensory systems Eyes Subretinal migration of indocyanine green dye and subsequent retinal pigment epithelial atrophy has been reported during macular surgery for serous macular detachment in a 65-year-old woman [59 ]. 

Hussain N, Jalali S, Rani A, Rawal H. Retinal pigment epithelial atrophy following indocyanine green dye-assisted surgery for serous macular detachment. Indian J Ophthalmol 2008 56(5) 423-5. 

Casparis H, Guex-Crosier Y, Wolfensberger TJ, Schalenbourg A. Peripheral serous pigment epithelial detachment and retinal detachment presumably associated with hydrochlorothiazide use. Kfin Monatsblatter fur AugenheiUcd 2013 230(4) 437-9. 

The patient may report episodes of watering or tenderness. When reduced lOP is fc>imd by applanation tonometry, a careful examination of the woimd is necessary.This inspection is achieved by painting sodium fluorescein over the cataract incision to observe for Seidel s sign. Occasionally, the auxiliary incisions can leak, so they should also be examined. The clinician should note the appearance of the cornea, which often shows endothelial folds. After the instillation of sodium fluorescein, a waffled appearance of the cornea is generally apparent if the lOP is markedly reduced (Figure 30-3). In addition, the anterior chamber depth should be assessed as well as the presence of inflammation. The pupils should be dilated and a retinal examination should be performed to rule out serous or hemorrhagic choroidal separations or a retinal break or detachment. 

Kim SW, Oh J, Oh IK, Huh K. Retinal pigment epithelial tear after half fluence PDT for serous pigment epithelial detachment in central serous chorioretinopathy. Ophthalmic Surg Lasers Imaging 2009 40 300-3. 

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