Ciliochoroidal detachment and pseudophakos implantation

Ciliochoroidal detachment perhaps occurs more frequently than is actually recognized and/or looked for. The majority of cases spontaneously resolve without sequelae. A pre-operatively soft eye and a well-closed, clean wound are the best prophylactic measures; even then, detachment may not be prevented. Perhaps something could be said for the lower incidence of wound separation when the limbal incision is small. Extreme caution and care must be exercised when the plastic lens approaches corneal endothelium. The possiblity of ciliochoroidal detachment must be contemplated. Depending upon the type of impant and its relationship to the corneal endothelium, early surgical intervention may be indicated.