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A. N. LEMOINE, Jr., M.D.; J. T. ROBISON, Jr., M.D.; LARRY L. CALKINS, M.D.

AMA Arch Ophthalmol. 1958;60(2):237-238.

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

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 . . . [Full Text PDF of this Article]

Author Affiliations
Kansas City, Mo.

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