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. CNV is reported to occur as late as 35 years after the choroidal rupture. Most CNV occurs within the first year. A hemorrhagic or serous macular detachment secondary to CNV may threaten visual function. If CNV is extrafoveal, it may respond well to laser photocoagulation.