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

Law et al¹ state that there are conflicting reports on the effect of the scleral expansion procedure on reducing intraocular pressure (IOP). Law and colleagues confuse the scleral expansion procedure (incisions combined with a scleral expansion plug) with the scleral expansion band (SEB).

Of the 4 methods presently being used to increase the distance between the crystalline lens equator and the ciliary muscle to treat presbyopia, only the SEB has been documented to lower the IOP in ocular hypertension and open angle glaucoma. In addition to the SEB, the techniques exclusively developed for treating presbyopia include (1) scleral incisions and/or ablations, (2) incisions combined with a scleral expansion plug, and (3) sulcus rings (Anneau Presbytie or Presbyopia ring).

The SEB lowers the IOP by maximally expanding the sclera and pulling outwardly on the underlying adherent ciliary muscle. When the ciliary muscle is stretched, its baseline tension is increased, which increases . . . [Full Text of this Article]

AUTHOR INFORMATION
Ronald A. Schachar, MD, PhD

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Glaucoma Care in a Patient With Previous Anterior Ciliary Sclerotomy and Scleral Expansion Procedure—Reply
Simon K. Law and Joseph Caprioli
Arch Ophthalmol. 2004;122(11):1728-1729.
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