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June 1955

A New Scleral Shortening Operation: Preliminary Report

Author Affiliations

New York
From the Department of Ophthalmology of Columbia University College of Physicians and Surgeons, and the Institute of Ophthalmology of the Presbyterian Hospital.

AMA Arch Ophthalmol. 1955;53(6):865-869. doi:10.1001/archopht.1955.00930010873014

Since 1933, when Lindner1 introduced the sclerectomy procedure devised by Müller2 to retinal detachment surgery, there have been numerous modifications of scleral resection.

At the present time the many types of scleral shortening procedures can be classified in two groups: the penetrating, or full-thickness, scleral resection, and the lamellar scleral resection of a variable thickness of the outer part of the sclera and infolding of the remaining lamella, as described by Dellaporta.3 In the latter group one might include the implantation of polyethylene tubing in a previously prepared lamellar scleral resection bed, as discussed by Schepens.*

Consideration of the different methods of scleral shortening disclosed a different approach which was thought to hold promise. This new shortening procedure entails folding the sclera outward, in contrast to the present operations of resecting a penetrating strip of sclera or the infolding of a lamella of sclera.

Experimental evaluation of

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