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June 1967

Conjunctival Dehiscence and Atrophy of Orbital FatComplication of Scleral Buckling Operation

Author Affiliations

From the Department of Ophthalmology, Hermann Hospital, Houston.

Arch Ophthalmol. 1967;77(6):787. doi:10.1001/archopht.1967.00980020789013

AN UNUSUAL ophthalmological observation was observed in an elderly patient.

Report of a Case  A 72-year-old white man was first seen on Dec 19, 1963, with a total retinal detachment in the left aphakic eye. The right eye was without light perception, secondary to a long standing detachment. The globes and lids appeared to be recessed deeply into the orbits. He was hospitalized for retinal surgery.Under general anesthesia, the conjunctiva and Tenon's capsule was opened 360°, 8 mm posterior to the limbus. The lateral rectus muscle was detached from the globe and the retinal breaks were localized 11 mm posterior to the limbus. A lamellar scleral dissection was carried out from the 1 o'clock to the 5:30 o'clock position to create a bed 7 mm in width. The bed was diathermized. A No. 31 MIRA solid silicone implant was cut to fit in the bed of the dissection. Drainage

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