A prolapsed choroid should be reposited since the risk of intraoperative hemorrhage and postoperative inflammation is significant if excision is performed. Gentle diathermy of the choroid makes it shrink, easing reposition.
If the ciliary body is extruded, its reposition is especially crucial. The goal is not only to avoid complications such as hemorrhage and inflammation, but to minimize the risk of phthisis (see Chap. 2.8). Special attention must be paid to avoid incarcerating the ciliary body in the wound. Ciliary body trauma is presumed to play a role in the development of sympathetic ophthalmia (see Chap. 1.8).
Was this article helpful?