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A choroidectomy is a surgical procedure that involves the removal of part or all of the choroid, a vascular layer of the eye located between the retina and the sclera. This layer is responsible for supplying oxygen and nutrients to the outer layers of the retina. A choroidectomy is typically performed to treat certain eye conditions, such as choroidal melanoma, a type of cancer that originates in the cells of the choroid. Other indications for the procedure include choroidal neovascularization (abnormal blood vessel growth) or severe trauma to the eye that damages the choroid. The surgery may be performed using different approaches depending on the extent of the condition. A partial choroidectomy involves removing only a section of the choroid, while a total choroidectomy may require the removal of the entire choroidal layer. The goal of the surgery is to remove the abnormal tissue while preserving as much of the eye's function and structure as possible. Complications from a choroidectomy can include infection, bleeding, retinal detachment, increased intraocular pressure, and vision loss, depending on the severity of the condition and the extent of the surgery. In some cases, postoperative inflammation or scarring may occur, which can further impair vision. Additionally, if a large portion of the choroid is removed, the patient may experience permanent vision loss in the affected eye. Despite these risks, choroidectomy is often necessary to prevent the spread of life-threatening conditions such as cancer within the eye.
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