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We thank Drs Takkar and Azad for their interest in our work.1 They propose a novel concept, that choroidal detachment resulting from retinal detachment could itself damage the ciliary nerves, and that this may be a frequent occurrence. According to most series, however, including the one Takkar and Azad refer to (citation 2 in their letter), choroidal detachment, noted generally to occur in approximately 4% of patients, is a rather infrequent finding, secondary to very low intraocular pressures that may be associated with chronic retinal detachments, the majority of those aphakic.

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