Indirect choroidal tears and late onset serosanguinous maculopathies

The retinal changes are described in four patients who acquired indirect choroidal tears and later developed serosanguinous maculopathies. Two subsequently received photocoagulation therapy and two did not. An analysis of previous cases reported in the literature with this condition, combined with our own findings, show that only patients with ruptures close to fixation have been observed to develop late onset haemorrhages and oedema at the macula. Spontaneous resolution with preservation of useful levels of visual function not infrequently occurs, and the indications for photocoagulation therapy are probably limited.