ICG may be useful, if subretinal blood blocks or hides CNV detection by a fluorescein angiogram. The overlying retina is intact but atrophic. In indirect choroidal ruptures, CNV is a common finding during the early healing phases of choroidal ruptures. With time, most of the 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 will involute spontaneously. If CNV is extrafoveal, it may be successfully treated with laser photocoagulation. Recurrences seem few. If CNV is subfoveal or juxtafoveal, consider pars plana vitrectomy with membrane extraction.