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Article
January 1959

Scleral Imbrication for Retinal Detachment

Author Affiliations

Portland, Ore.
From the Department of Ophthalmology, The University of Oregon Medical School.

AMA Arch Ophthalmol. 1959;61(1):110-114. doi:10.1001/archopht.1959.00940090112016
Abstract

It is my purpose to describe an improved type of scleroplasty. It has been developed at the University of Oregon Medical School during the past decade for the treatment of those types of retinal detachment which ordinarily do not respond to conventional transcleral diathermy. This operation has been named scleral imbrication, because the outer layers of the sclera are undermined and then overlapped in one or more quadrants of the globe. The technique was described briefly at the 1953 meeting of the Section of Ophthalmology of the American Medical Association.1 Since that time others have recognized the scleral imbrication.2,3

As compared with other types of lamellar scleroplasty, scleral imbrication has several advantages. In the course of the procedure, the deeper layers of the sclera are exposed over a wide area. This permits accurate localization of retinal breaks before any diathermy is applied. This is possible because the choroid

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