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An Enfolding of the Sclera

JAMES S. SHIPMAN, M.D.

AMA Arch Ophthalmol. 1958;60(2):247-248.

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

In 1956 at the Academy of Ophthalmology and Otolaryngology Rolett presented a movie film entitled "Scleral Shortening: A New and Simplified Method of Use in Retinal Detachment." I saw this and was stimulated to try a modification of this operation. In my modification two incisions are made instead of one through the outer three-fourths of the sclera, with an island of full thickness of sclera between these. I wish to recommend this to you as a procedure for cases requiring more than the ordinary retinopexy but not such an extensive procedure as a resection of the sclera with insertion of a polyethylene tube.

The technique is as follows: The incision in the bulbar conjunctiva is made far enough away from the limbus to allow it to be reflected over the cornea as an apron-like flap to protect the cornea during the operative procedure.

The anterior edge of the conjunctival incision . . . [Full Text PDF of this Article]

Author Affiliations
Camden, N. J.

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