Management of Choroidal Detachment with Retinal Detachment

Preoperative Medical Management

• The American Academy of Ophthalmology recommends initiating systemic corticosteroids before surgery to reduce choroidal detachment and improve surgical outcomes, with oral prednisone 1 mg/kg/day as the recommended first-line therapy 1

Postoperative Management and Monitoring

• Close follow-up is essential, with examination at 1-2 weeks post-surgery to assess initial treatment response, and repeat examination at 2-6 weeks with indirect ophthalmoscopy and scleral depression to verify adequate chorioretinal adhesion 2, 3
• Patients should be instructed to report immediately if they experience increased floaters, new flashes of light, peripheral visual field loss, or decreased visual acuity 2, 3, 4