This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
This operation is submitted as my modification of Prince's advancement operation, particularly regarding the insertion of the suture in the tendon of the muscle.
A vertical incision is made in the conjunctiva about 6 mm. from the limbus. After the conjunctiva is undermined up to the limbus and over the tendon of the muscle, Tenon's capsule is buttonholed at one side of the tendon, a strabismus hook is inserted under the tendon, and Tenon's capsule is incised on each side but not stripped from over the tendon. A Prince's advancement forceps is now applied near the insertion of the tendon, with the handle of the forceps toward the cornea, and the tendon is cut close at its insertion.
I use a double-armed suture of 000 ten day chromacized catgut and substitute for one of the atraumatic needles (which come with the suture) a Jameson needle to be used in
Hunt GA. A SINGLE SUTURE ADVANCEMENT OPERATION. Arch Ophthalmol. 1937;17(1):135–136. doi:10.1001/archopht.1937.00850010147011
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: