Spontaneous massive serous choroidal detachment occurring one-and-half years post cataract extraction

A case of massive serous choroidal detachment, occurring 1 1/2 years post lens extraction, is presented. No etiology was documented although the most likely consideration was unnoticed trauma. Subclinical intraocular inflammation or possible alterations in choroidal vascular permeability may explain the resolution with systemic steroids. When glaucoma and peripheral anterior synechiae are not threatening, surgical intervention of the serous choroidal detachments should be delayed.