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Arch Ophthalmol. 2003;121:1646-1648.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Presbyopia is a gradual decrease of accommodation that becomes clinically significant during the fifth decade of life. Its pathophysiological changes remain uncertain and controversial. In recent years, Schachar and associates¹ suggested that presbyopia occurs because of growth in the equatorial diameter of the lens, and the ciliary muscle contraction can no longer tense the zonule and expand the lens coronally. Based on this theory, scleral expansion by making radial relaxing incisions in the sclera or implanting plastic bands intrasclerally to expand the scleral ring were postulated to restore the accommodation. Although the clinical efficacy of these surgical techniques remains to be proven, they are being offered widely as a means to correct the inevitable ocular affliction of presbyopia. We report an unusual case of glaucoma care in a patient with previous anterior ciliary sclerotomy and scleral expansion procedure.

Report of a Case

A 59-year-old white man had ocular discomfort and evidence of bleb leakage . . . [Full Text of this Article]

Comment
Simon K. Law, MD; Hasan M. Syed, BS; Joseph Caprioli, MD
Los Angeles, Calif

Corresponding author: Simon K. Law, MD, 100 Stein Plaza 2-235, Jules Stein Eye Institute, Los Angeles, CA 90095 (e-mail: law@jsei.ucla.edu).

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Glaucoma Care in a Patient With Previous Anterior Ciliary Sclerotomy and Scleral Expansion Procedure
Schachar
Arch Ophthalmol 2004;122:1728-1728.
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