Serous Choroidal Detachment and Scleritis Associated with Necrotic Choroidal Tumors

Purpose: To describe choroidal detachments and concurrent scleritis associated with necrotic choroidal metastasis ormelanoma.Methods: Retrospective case series.Results: We report four patients with scleritis and choroidal detachment, with an underlying malignant choroidaltumor. All patients underwent fine-needle aspiration biopsy for cytopathologic characterization of their choroidaltumor, and they all demonstrated evidence of tumor necrosis. Two patients were diagnosed with choroidalmetastasis from lung and esophageal adenocarcinoma. Both patients ultimately expired from systemic metastasis.The remaining two patients were diagnosed with choroidal melanoma and were successfully treated with plaqueradiotherapy.Conclusion: Choroidal detachment with concurrent scleritis can occur as rare sequelae of tumor necrosis of anunderlying choroidal malignancy.