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July 1956

An Experimental Evaluation of Scleral Shortening Operations

Author Affiliations

From the Department of Ophthamology of Columbia University College of Physicians and Surgeons, and the Institute of Ophthamology of the Presbyterian Hospital.

AMA Arch Ophthalmol. 1956;56(1):34-47. doi:10.1001/archopht.1956.00930040038006

The penetrating scleral resection operation, as advocated by Lindner1 in 1933, salvaged many previously hopeless cases of retinal detachment. Following this advance in detachment therapy, the full-thickness scleral resection became accepted by most opthalmic surgeons. However, the frequent operatiye complications of hemorrhage and vitreous loss during full-thickness sclerectomies prompted the development of safer scleral shortening operations.

The lamellar-scleral resection, as advocated by Dellaporta,2 Paufique,3 and Shapland,4 has gained increasing usage in recent years. Schepens * further modified the lamellar-scleral resection by infolding polyethylene tubing in the base of a lamellar-scleral preparation. Recently, I reported a new type of scleral shortening operation,5 the scleral fold, which seems to offer certain advantages.

These modified scleral shortening procedures represent the basic improvements in operative technique since Müller first devised the scleral resection, 53 years ago, for use in myopia. In all these years there has been little experimental consideration