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In 1956 at the Academy of Ophthalmology and Otolaryngology Rolett presented a movie film entitled "Scleral Shortening: A New and Simplified Method of Use in Retinal Detachment." I saw this and was stimulated to try a modification of this operation. In my modification two incisions are made instead of one through the outer three-fourths of the sclera, with an island of full thickness of sclera between these. I wish to recommend this to you as a procedure for cases requiring more than the ordinary retinopexy but not such an extensive procedure as a resection of the sclera with insertion of a polyethylene tube.
The technique is as follows: The incision in the bulbar conjunctiva is made far enough away from the limbus to allow it to be reflected over the cornea as an apron-like flap to protect the cornea during the operative procedure.
The anterior edge of the conjunctival incision
SHIPMAN JS. Retinal Detachment SurgeryAn Enfolding of the Sclera. AMA Arch Ophthalmol. 1958;60(2):247-248. doi:10.1001/archopht.1958.00940080263010