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June 1956

Resection Under Tenon's Capsule

Author Affiliations

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

AMA Arch Ophthalmol. 1956;55(6):836-840. doi:10.1001/archopht.1956.00930030840010

In 1954 Talbot and I reported a technique of recessing a rectus muscle under Tenon's capsule.1 In this technique the conjunctival incision is made parallel to the muscle insertion but is placed near or behind the equator. By this means postoperative irritation of the sutures and visible scarring are minimized. Tenon's capsule then is incised parallel to and over the muscle to expose the muscle insertion. After recession of the muscle insertion, Tenon's capsule and the conjunctiva are closed with fine absorbable sutures so that the normal relationship of Tenon's capsule to the conjunctiva is retained. In the usual procedures both Tenon's capsule and the conjunctiva are incised parallel to the muscle insertion near the limbus. The flap of Tenon's capsule over the muscle generally is allowed to retract with the recessed muscle. This contracted flap of Tenon's capsule often forms a cicatricial mass under the conjunctiva, reducing effectiveness

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