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August 1958

A Scleral Imbrication Technique

Author Affiliations

Kansas City, Mo.

AMA Arch Ophthalmol. 1958;60(2):237-238. doi:10.1001/archopht.1958.00940080253008

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It is our purpose in this paper to describe a technique of scleral shortening with incarceration of a hinged roll of sclera. This procedure was evolved to obtain the advantages of a reduced scleral arc and a large and long-lasting choroidal fold without introducing a foreign body such as a plastic tube.

From 1954 to 1958 we have operated on 97 cases, using the following method.

To obtain adequate scleral exposure a conjunctival incision is made 10 to 12 mm. from the limbus. If the area to be operated on is confined to one quadrant, an episcleral traction suture is used; if there is more than one quadrant requiring surgery or if the optimum area for operation straddles a muscle, this rectus muscle is detached and a traction suture is placed through its tendon stump on the sclera.

The location and extent of the scleral incisions will of course be

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