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Related to Tenon's capsule: deturgescence
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Caption: Figure 4: The structure of the Tenon's capsule: (a) superomedial projection; (b) inferomedial projection; (c) superolateral projection; (d) inferolateral projection [68].
We suggest that there were a small number of initial total failures due to failure to locate the Tenon's capsule. Thereafter, there were subtle improvements in technique, which included less local anaesthetic spillage or a compensation if this occurred.
Chemosis is unavoidable, but is more likely to occur if dissection of Tenon's capsule is not adequate or a large volume of local anaesthetic is injected.