Choroidal detachment

Case contributed by Dr Ian Bickle

Presentation

Assessment by ophthalmologist. Need to exclude ocular tumour.

Patient Data

Age: 75 years
Gender: Female
MRI

Thin symmetrical enhancing strands with a divergent base towards the retina in the right globe consistent with a choroidal detachment.

No underlying enhancing choroidal mass. No high T1 signal to suggest a choroidal melanoma.

The intraconal and extraconal spaces are normal in appearance.

Normal intracranial appearances.

 

Annotated image

A-B shows a retinal detachment.

C-D shows a choroidal detachment.

From https://radiopaedia.org/cases/ora-serrata-retinal-versus-choroidal-detachment-1

Case Discussion

The electronic medical notes detailed a choroidal detachment on ophthalmic examination (not given in the request), but confirming the MRI findings.

The divergent nature of the intra-orbital leaflets distinguishes a choroidal from a retinal detachment, the latter being V-shaped.

See for compare and contrast:  https://radiopaedia.org/cases/ora-serrata-retinal-versus-choroidal-detachment-1

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Case information

rID: 58476
Published: 2nd May 2018
Last edited: 2nd May 2018
System: Head & Neck
Tag: ripas2
Inclusion in quiz mode: Included
Institution: Rotherham Foundation Hospital Trust

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