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August 1964

Postoperative Choroidal Detachment

Author Affiliations

Columbus, Ohio
Department of Ophthalmology, Ohio State University.

Arch Ophthalmol. 1964;72(2):234-237. doi:10.1001/archopht.1964.00970020234017

Choroidal detachment is not uncommon after an intraocular operation. The condition is usually associated with a shallow anterior chamber and low intraocular pressure.

The prognosis is good, and few eyes have been studied histologically. The following case is presented because it was obtained quite early and was removed with the presumptive diagnosis of "intraocular melanoma."

Report of Case  A 66-year-old man consulted an ophthalmologist because of severe pain and loss of vision in his left eye for three weeks. The visual acuity was counting fingers. The eye was congested, the cornea was steamy, and the intraocular pressure was above 80 mm Hg (Schiotz). The fundus could not be seen because of the steamy cornea. Treatment with acetazolamide (Diamox) and pilocarpine brought the pressure down promptly. In three days the vision improved and the tension was 25 mm Hg (Schiøtz).The pressure gradually rose to 60 mm Hg and did not

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