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—I read with great interest the comments by Dr Patrinely and his colleagues detailing another cause of conjunctival prolapse. Obviously, ophthalmologists need to be aware of these complications, even though the complications described by myself and Patrinely et al are unusual and have not been reported in the literature. Presumably, in the case reported by Patrinely et al, evacuation of the air would allow resolution of the prolapsed conjunctiva. The authors did not state whether the conjunctival prolapse resolved on its own, or whether it required surgical correction. If the conjunctiva remained prolapsed following air reabsorption, a suspension of the superior cul de sac without conjunctival resection would be the procedure of choice to reestablish the upper cul-de-sac.
Levine MR. Conjunctival Prolapse Following Craniofacial Surgery-Reply. Arch Ophthalmol. 1992;110(10):1359. doi:10.1001/archopht.1992.01080220021007
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