The histopathologic findings are similar to those of a RRD with loss of photoreceptor outer segments acutely and chronic changes exemplified by retinoschisis, cysts, and RPE proliferation. Other findings include massive leakage into the retina and subretinal space. The medical and surgical treatments of exudative retinal detachments have to be tailored to the underlying condition. Tumors need to be treated accordingly. External beam radiation therapy or brachytherapy with a plaque may be used for choroidal melanoma.
Metastatic lesions respond to chemotherapy or localized radiation therapy.
Choroidal hemangiomas may respond to laser photocoagulation or plaque brachytherapy. Retinoblastomas may be shrunk with chemotherapy and then treated locally with heat, laser, or cryotherapy. Infectious etiologies may respond to antibiotics. Reports exist of patients with exudative retinal detachments secondary to chronic renal failure that have spontaneous retinal reattachment following renal transplant. The medical and surgical treatments of exudative retinal detachments have to be tailored to the underlying condition.