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November 1977

Intrascleral EnucleationA New Surgical Technique

Author Affiliations

From the Department of Ophthalmology, Norton Community Hospital, Norton, Va.

Arch Ophthalmol. 1977;95(11):2041-2042. doi:10.1001/archopht.1977.04450110135018

• Intrascleral enucleation, a new technique of excising the eyeball, is described. Following the reflection of the conjunctiva toward the fornices, four flaps of the superficial, half the thickness of sclera, are dissected backward from the limbus in such a way that each flap has one rectus muscle attached to it on the external side. The integrity of Tenon's capsule remains intact, and the rectus muscles are not traumatized or displaced from their physiologic location. A cap of sclera also is formed in front of the implant and safeguards against its extrusion. Because of the likely but avoidable complication of the perforation of the globe, the choice of intrascleral enucleation must be thoroughly evaluated in situations where this complication is undesirable.

(Arch Ophthalmol 95:2041-2042, 1977)