How is exudative retinal detachment treated?

Updated: Jul 27, 2020
  • Author: Lihteh Wu, MD; Chief Editor: Inci Irak Dersu, MD, MPH  more...
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Answer

The medical and surgical treatments of exudative retinal detachments have to be tailored to the underlying condition.

Inflammatory conditions, such as scleritis and Vogt-Koyanagi-Harada syndrome, should be treated with anti-inflammatory agents. [9]

Tumors need to be treated accordingly. External beam radiation therapy or brachytherapy with a plaque may be used for choroidal melanoma. Metastatic lesions respond to chemotherapy or localized radiation therapy. Choroidal hemangiomas may respond to laser photocoagulation or plaque brachytherapy. Retinoblastomas may be shrunk with chemotherapy and then treated locally with heat, laser, or cryotherapy.

Infectious etiologies may respond to antibiotics.

Reports exist of patients with exudative retinal detachments secondary to chronic renal failure that have spontaneous retinal reattachment following renal transplant or renal dialysis. [10]

Anti-VEGF agents may play a role in the management of Coats disease. [1, 11, 12]


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