If CNV is present, early hyperfluorescence followed by late leakage will be present in the angiogram. The overlying retina is intact but atrophic. In indirect choroidal ruptures, CNV is a common finding during the early healing phases. With time, most CNV involutes spontaneously. In a small number of cases, a disciform scar or fibrous tissue growth into the retina and vitreous cavity may occur.
Conservative treatment is recommended for most choroidal ruptures.
During the healing phase of virtually all choroidal ruptures, CNV is present. Most CNV involutes spontaneously. If CNV is extrafoveal, it may be treated successfully with laser photocoagulation. Recurrences seem few. If CNV is subfoveal or juxtafoveal, consider pars plana vitrectomy with membrane extraction.