O Pitfall

If the scleral wound is very posterior, forcible closure is not simply counterproductive but dangerous. The wound should be left unsutured, and management should shift from an external to an internal approach (prophylactic chorioretinectomy; see below and Chap. 2.14). The conjunctiva over the unsutured scleral wound must be meticulously closed to eliminate the endophthalmitis risk.

12 The actual operative field is too small to conveniently allow access of four hands of two assistants.

Table 2.3.1 Selected pathologies in eyes with full-thickness scleral wound in the USEIR database


Laceration (%)

Rupture (%)


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